妊娠晚期孕妇B族链球菌感染检测及妊娠结局的临床分析  

Detection of group B streptococcus infection in late pregnancy and clinical analysis of pregnancy outcome

作　　者：张晓明 孙杰 ZHANG Xiao-ming;SUN Jie(Fushun Central Hospital,Fushun 113000,China)

机构地区：[1]抚顺中心医院,113000

出　　处：《中国实用医药》2021年第29期64-66,共3页China Practical Medicine

摘　　要：目的探讨娠晚期孕妇B族链球菌(GBS)感染检测及妊娠结局。方法选取200例GBS感染的妊娠晚期孕妇作为观察组,另选取同期生殖道GBS阴性孕妇200例作为为对照组。两组均进行GBS感染检测,比较两组孕妇不良妊娠结局及新生儿结局。结果观察组孕妇产褥感染、胎膜早破、早产发生率分别为5.00%、4.00%、4.50%,均高于对照组的0.50%、0.50%、0.50%,差异有统计学意义(P<0.05);两组孕妇难产发生率比较差异无统计学意义(P>0.05)。观察组新生儿呼吸道感染、低体重、窒息、宫内窘迫、黄疸发生率分别为5.00%、4.50%、4.00%、3.00%、5.00%,均高于对照组的1.00%、0.50%、0.50%、0、0,差异有统计学意义(P<0.05)。结论妊娠晚期孕妇感染GBS后容易导致不良妊娠结局,因此应重视GBS检测,以便对孕妇进行及时治疗,有效改善妊娠结局。Objective To discuss the detection of group B streptococcus(GBS)infection in late pregnancy and the pregnancy outcome.Methods There were 200 pregnant women with GBS infection in late pregnancy selected as the observation group,and 200 GBS-negative women in the reproductive tract during the same period were selected as the control group.Both groups were tested for GBS infection.The adverse pregnancy outcomes and neonatal outcomes were compared between two groups.Results The incidence of puerperal infection,premature rupture of membranes and preterm delivery in the observation group were 5.00%,4.00%and 4.50%,respectively,which were higher than 0.50%,0.50%and 0.50%in the control group,and the difference was statistically significant(P<0.05).The incidence of dystocia in the observation group was not significantly different from that in the control group(P>0.05).The incidence of neonatal respiratory tract infection,low weight,asphyxia,intrauterine distress,and jaundice in the observation group were 5.00%,4.50%,4.00%,3.00%,and 5.00%,respectively,which were all higher than 1.00%,0.50%,and 0.50%,0 and 0 in the control group,and the difference was statistically significant(P<0.05).Conclusion GBS infection in pregnant women in late pregnancy is likely to lead to poor pregnancy outcome,therefore,GBS detection should be emphasized in order to provide timely treatment for pregnant women and effectively improve pregnancy outcome.

关 键 词：妊娠晚期 B族链球菌 新生儿 妊娠结局 

分 类 号：R714.251[医药卫生—妇产科学]