生殖道感染与反复性自然流产的相关性研究  

Correlation between Reproductive Tract Infection and Recurrent Spontaneous Abortion

作　　者：王晓燕 WANG Xiao-yan(Department of Obstetrics and Gynecology,Linyi Kaixuan Hospital,Linyi,Shandong Province,276000 China)

机构地区：[1]临沂凯旋医院妇产科,山东临沂276000

出　　处：《世界复合医学》2020年第5期68-70,共3页World Journal of Complex Medicine

摘　　要：目的分析评价生殖道感染与反复性自然流产的相关性。方法该次将该院于2018年2月—2019年1月收治的100例反复性自然流产患者作为研究的对象(观察组),另取同期行人工流产的健康早孕妇女100例作为对照对象(对照组),两组均采取生殖道感染检测,进一步比较两组检测结果,重点分析研究生殖道感染与反复性自然流产之间的相关性。结果①观察组生殖道解脲脲支原体感染率、沙眼衣原体感染率、"解脲脲支原体+沙眼衣原体"联合感染率分别为45.00%、36.00%、19.00%,均明显高于对照组的12.00%、11.00%、3.00%,两组之间的数据差异有统计学意义(χ2=12.348、10.267、12.539,P<0.05)。②≥3次自然流产患者的生殖道解脲脲支原体感染率、沙眼衣原体感染率、"解脲脲支原体+沙眼衣原体"联合感染率分别为53.57%、32.14%、14.29%,与2次自然流产患者的41.67%、37.50%、20.83%均存在明显差异,两组数据差异有统计学意义(χ2=10.286、5.238、6.257,P<0.05)。结论生殖道解脲脲支原体、沙眼衣原体感染与反复性自然流产密切相关,为主要危险因素;并且,流产次数越多,解脲脲支原体感染率越高,相关医护研究工作者需对此充分重视,为进一步制定客观、科学的诊疗方案提供有效依据。Objective To analyze the correlation between reproductive tract infection and recurrent spontaneous abortion.Methods This time,100 patients with recurrent spontaneous abortion treated in the hospital from February 2018 to January 2019 were taken as the research object(observation group),and 100 healthy early pregnant women who underwent artificial abortion during the same period were used as control subjects(control group),both groups were tested for reproductive tract infections.The results of the two groups were further compared,and the relationship between reproductive tract infections and recurrent spontaneous abortion was mainly analyzed.Results(1) The infection rate of Ureaplasma urealyticum,Chlamydia trachomatis,and the combined infection rate of "Ureaplasma urealyticum+Chlamydia trachomatis" in the observation group were 45.00%,36.00%,and 19.00%,which were significantly higher than those in the control group.12.00%,11.00%,3.00%,the data between the two groups were statistically significant different(χ2=12.348,10.267,12.539,P<0.05).(2) Reproductive tract infection rate of ureaplasma urealyticum,Chlamydia trachomatis,and combined infection rate of "Ureaplasma urealyticum+Chlamydia trachomatis" were 53.57%,32.14%,14.29%,and 2 times in41.67%,37.50%,and 20.83% of patients with spontaneous abortion.The data difference between the two groups was statistically significant(χ2=10.286,5.238,6.257,P<0.05).Conclusion Reproductive tract Ureaplasma urealyticum and Chlamydia trachomatis infections are closely related to recurrent spontaneous abortion and are the main risk factors.Moreover,the higher the number of abortions,the higher the rate of Ureaplasma urealyticum infection.Related medical researchers need to pay full attention to this.To provide effective basis for further development of objective and scientific diagnosis and treatment programs.

关 键 词：生殖道感染 反复性自然流产 相关性 生殖道解脲脲支原体 沙眼衣原体感染 

分 类 号：R71[医药卫生—妇产科学]