拉萨地区早产与阴道线索细胞感染的相关性研究  

Correlation Study on the Clue Cells with Gardnerella Vaginalis Result in Premature Birth among Tibetan Gravidae in Lhasa

作　　者：邱凯丽 卓嘎[2] Kaili Qiu;Ga Zhuo(Tibet University Medical School,Lhasa,Tibet 850000,China;Department of Obstetrics,The People’s Hospita l of Tibet Autonomous Region,Lhasa,Tibet 850000,China)

机构地区：[1]西藏大学医学院 [2]西藏自治区人民医院妇产科,西藏拉萨850000

出　　处：《西藏医药》2021年第5期9-11,共3页Tibetan Medicine

基　　金：拉萨地区早产与阴道线索细胞感染的相关性研究(西藏自治区自然科学基金项目,项目编号:ZRKX2019000039)。

摘　　要：目的探讨拉萨地区藏族孕妇阴道线索细胞阳性与早产的相关性。方法选取2019年9月~2020年9月在我院行产前检查并明确诊的阴道线索细胞阳性的藏族孕妇160例。按照患者自愿的原则分为A组(62例)和B组(98例),A组患者使用保妇康栓治疗,B组患者未使用药物治疗。对比两组妊娠结局。结果 A组早产率显著低于B组[24.2% VS.53.1%],两组差异具有统计学意义(P<0.05);两组产褥感染发生率无统计学差异(P>0.05);A组转阴率为98.4%(61/62),B组转阴率为58.2%(57/98),差异具有统计学意义(P<0.05)。结论在孕龄20~32周+6天应行线索细胞检测,对于妊娠期合并细菌性阴道炎应及时治疗,有助于降低早产发生率。Objective:To investigate the relationship between clue cells with gardnerella vaginalis and premature birth among Tibetan gravidae in Lhasa.Methods:Totally,160 gravidae who tested clue cells for positive in prenatal examination from September 2019 to September 2020 in our hospital were selected as the objects of study.They were divided into A group (n=62) and B group (n=98).Tibetan gravidae in A group received the treatment of bao fu kang shuan medicine,while gravidae in B group received no any treatment.The outcome of pregnancy was compared between the two groups.Results:The rate of premature birth in the A group was significant lower than that in the B group[24.2% vs.53.1%].The rate of clue cells negative conversion was 98.4% (61/62) in the A group and 58.2% (57/98) in the B group (P<0.05).However,there was no significant difference in the rate of puerperal infection between the two groups (P>0.05).Conclusions:The clue cells should be tested during the gestation period (more than 140 days and less than 230 days) in order to discover the bacterial vaginitis promptly for prompt treatment,it would be benefit for reducing the rate of premature birth.

关 键 词：线索细胞阳性 早产 临床相关性 

分 类 号：R711.31[医药卫生—妇产科学] R446.5[医药卫生—临床医学]