β-族溶血性链球菌感染与胎膜早破及母婴预后  

β-group Hemolytic Streptococcus Infection and Premature Rupture of Membranes and Prognosis of Mother and Child

作　　者：陈芳芳[1] 黄颖 谭铭波 CHEN Fangfang;HUANG Ying;TAN Mingbo(Department of Obstetrics,Huazhou People's Hospital,Huazhou 525100,China)

机构地区：[1]化州市人民医院产科,广东化州525100

出　　处：《中国医药指南》2022年第17期82-84,共3页Guide of China Medicine

摘　　要：目的探讨β-族溶血性链球菌感染与胎膜早破及母婴预后情况。方法选择2019年1月至2021年1月我院收治的60例胎膜早破孕妇,将其作为胎膜早破组,同时选择同时期60名未发生胎膜早破的健康孕妇,将其作为对照组,对其实施β-族溶血性链球菌检测,观察胎膜早破组与对照组的母婴预后情况、两组孕妇生殖道β-族溶血性链球菌检验结果情况、β-族溶血性链球菌阳性组与β-族溶血性链球菌阴性组之间的母婴预后情况、β-族溶血性链球菌阳性胎膜早破组与β-族溶血性链球菌阴性胎膜组早破羊水白细胞介素-6(IL-6)水平情况、胎膜早破组与对照组的新生儿感染发生率比较。结果胎膜早破组的胎儿窘迫发生率、绒毛膜羊膜炎发生率、β-族溶血性链球菌阳性率明显高于对照组,新生儿体质量与Apgar评分明显低于对照组,新生儿感染发生率明显高于对照组(P<0.05);胎膜早破组与对照组的新生儿呼吸窘迫发生率、产褥病发生率比较,差异无统计学意义(P>0.05)。β-族溶血性链球菌阳性组的胎儿窘迫发生率、绒毛膜羊膜炎发生率、产褥病发生率明显高于β-族溶血性链球菌阴性组,且β-族溶血性链球菌阳性组的IL-6水平明显高于β-族溶血性链球菌阴性组(P<0.05);但β-族溶血性链球菌阳性组与β-族溶血性链球菌阴性组的新生儿呼吸窘迫发生率比较,差异无统计学意义(P>0.05)。胎膜早破组新生儿感染发生率明显高于对照组(P<0.05)。结论β-族溶血性链球菌感染会导致孕妇发生胎膜早破的不良情况,且会对母婴预后造成不良影响,具有较大的相关性。Objective To investigate β-group hemolytic streptococcal infection,premature rupture of membranes and prognosis of mothers and children.Methods Select 60 pregnant women with premature rupture of membranes admitted to our hospital from January 2019 to January 2021,and set them as the premature rupture of membranes group.At the same time,60 healthy pregnant women without premature rupture of membranes were selected,as a control group,the β-group hemolytic streptococcus was tested to observe the prognosis of mothers and children in the premature rupture of membranes group and the control group.Maternal and child prognosis between group hemolytic streptococcus positive group and β-group hemolytic streptococcus negative group,β-group hemolytic streptococcus positive premature rupture group and β-group hemolytic streptococcus negative fetal membrane group premature rupture of amniotic fluid interleukin-6(IL-6)levels,premature rupture of membranes group and comparison of the incidence of neonatal infection in the control group were observed.Results The incidence of fetal distress,the incidence of chorioamnionitis,and the positive rate of β-group hemolytic streptococcus in the premature rupture of the membranes group were significantly higher than those in the control group,and the weight and Apgar score of newborns were significantly lower than those in the control group,newborn infections incidence was significantly higher than that of the control group(P<0.05).There was no statistically significant difference in the incidence of neonatal respiratory distress and puerperal disease between the premature rupture of membranes group and the control group(P>0.05).The incidence of fetal distress,chorioamnionitis,and puerperal disease in the β-hemolytic streptococcus positive group was significantly higher than that of the β-hemolytic streptococcus negative group,and the level of IL-6 of the β-hemolytic streptococcus positive group was significantly higher than that of the β-group hemolytic streptococcus negative gr

关 键 词：胎膜早破 β-族溶血性链球菌感染 母婴预后 

分 类 号：R714.433[医药卫生—妇产科学]