产道感染孕产妇的分娩方式及妊娠结局临床分析  

Clinical analysis of delivery mode and pregnancy outcome of parturient women with birth canal infection

作　　者：林莉莉 李妹霞 LIN Li-li;LI Mei-xia(Department of Obstetrics and Gynecology,No.900 Hospital of Joint Logistics Support Force(formerly the No.95 Clinical Department),Putian 351100,Fujian,CHINA;Nursing Department,No.900 Hospital of Joint Logistics Support Force(formerly the No.95 Clinical Department),Putian 351100,Fujian,CHINA)

机构地区：[1]联勤保障部队第九〇〇医院(原九五临床部)妇产科,福建莆田351100 [2]联勤保障部队第九〇〇医院(原九五临床部)护理部,福建莆田351100

出　　处：《海南医学》2019年第24期3241-3243,共3页Hainan Medical Journal

基　　金：福建省莆田市科技计划项目(编号：2015S30010007)

摘　　要：目的分析产道感染孕产妇的分娩方式及妊娠结局。方法选择2017年9月至2018年9月在联勤保障部队第九〇〇医院妇产科分娩的200例孕产妇作为研究对象。按照是否发生产道感染分组,其中产道感染者104例为观察组,产道未感染者96例为对照组。对产道感染产妇进行相应治疗。比较两组孕产妇的分娩方式(包括自然分娩、阴道助产及剖宫产)及妊娠结局及新生儿分娩结局,并对治疗疗效进行评估。结果观察组孕妇的自然分娩率、剖宫产率及阴道助产率分别为69.23%、24.04%、6.73%,与对照组的79.17%、16.67%、4.17%比较,差异均无统计学意义(P>0.05);观察组孕妇的胎膜早破、早产、宫腔感染、产褥感染及产后出血的发生率分别为38.46%、23.08%、22.12%、14.42%、10.58%,明显高于对照组的10.42%、8.33%、7.29%、4.17%、2.08%,差异均具有统计学意义(P<0.05);观察组新生儿的胎儿窘迫、窒息及新生儿感染的发生率分别为23.08%、10.58%、9.62%,明显高于对照组的8.33%、3.13%、2.08%,差异均具有统计学意义(P<0.05)。观察组孕产妇治疗有效率为94.23%。结论孕产妇产道感染会导致胎膜早破,给妊娠结局带来不良影响,增加新生儿并发症的发生率,孕产妇的宫腔感染、产褥感染及产后出血发生率也较高,严重危害产妇母子健康,应注重产道感染的预防和及早治疗。Objective To analyze the delivery mode and the pregnancy outcome of pregnant women with maternal infection.Methods A total of 200 parturient women who gave birth in the Department of Obstetrics and Gynecology,No.900 Hospital of Joint Logistics Support Force from September 2017 to September 2018 were selected as the study subjects.According to whether the birth canal infection occurred,104 women with birth canal infection were assigned into the observation group and 96 without infection into the control group.The women with infection of birth canal were given corresponding treatment.The mode of delivery(including natural delivery,vaginal delivery,and cesarean section),the outcome of pregnancy,and newborn delivery outcome were compared between the two groups,and the therapeutic effect was evaluated.Results The natural delivery rate,cesarean section rate,and vaginal delivery rate of the observation group were 69.23%,24.04%,6.73%,as compared with 79.17%,16.67%,4.17%in the control group(P>0.05).The incidence of premature rupture of membranes,premature delivery,intrauterine infection,puerperal infection,and postpartum hemorrhage in the observation group were 38.46%,23.08%,22.12%,14.42%,10.58%,which were significantly higher than 10.42%,8.33%,7.29%,4.17%,2.08%in the control group(P<0.05).The incidence of fetal distress,asphyxia,and neonatal infection in the observation group were 23.08%,10.58%,9.62%,which were significantly higher than 8.33%,3.13%,2.08%of the control group(P<0.05).The effective rate of treatment in the observation group was 94.23%.Conclusion Birth canal infection in women can lead to premature rupture of membranes,adverse effects on pregnancy outcomes,improve the incidence of intrauterine infection,puerperal infection and postpartum hemorrhage in pregnant women,and endanger maternal and maternal health.Clinical attention should be paid to the prevention and early treatment of birth canal infection.

关 键 词：孕产妇 产道感染 胎膜早破 分娩方式 妊娠结局 

分 类 号：R714.42[医药卫生—妇产科学]