拉萨地区早产与阴道线索细胞感染的相关性研究  

Study on the correlation between preterm labor and vaginal cue cell infection in Lhasa area

作　　者：邱凯丽 卓嘎[2] Qiu Kaili;Zhuo Ga(Tibet University School of Medicine;Department of Obstetrics and Gynecology,People's Hospital of Tibet Autonomous Region,Lhasa Tibet 850000,P.R.China)

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

出　　处：《中国计划生育和妇产科》2022年第6期85-87,91,共4页Chinese Journal of Family Planning & Gynecotokology

基　　金：西藏自治区自然科学基金项目(项目编号:XZ2019ZRG-123)。

摘　　要：目的探讨拉萨地区孕妇发生早产与阴道线索细胞感染的相关性.方法收集2019年9月至2020年9月在西藏自治区人民医院妇幼保健科行产前检查的孕周在20~32^(+6)周的240例孕妇,根据显微镜下观察是否感染线索细胞分组,感染线索细胞者为A组(160例),未感染者为B组(80例),比较两组之间早产、胎膜早破等不良妊娠结局.结果A组出现早产67例(41.88%),高于B组的9例(11.25%),差异有统计学意义(P<0.05);A组与B组的分娩孕周[(37.4±2.2)周vs(38.5±2.0)周]、新生儿体重[(2637.7±653.7)g vs(2962.8±487.9)g]、1 min Apgar评分[(8.4±1.3)分vs(8.8±0.5)分],5 min Apgar评分[(9.3±1.3)分vs(9.8±0.4)分]比较,差异均有统计学意义(P<0.05).结论有线索细胞感染的孕产妇发生早产率高于未感染者,因此提高孕产妇对于早产的认知,重视线索细胞感染造成细菌性阴道病对于早产的危害,按时产检,加强孕期管理,对改善妊娠结局,提高新生儿质量有重大意义.Objective To investigate the correlation between preterm birth and vaginal cue cell infection among pregnant women in Lhasa area.Methods A total of 240 pregnant women with gestational age of 20~32^(+6) weeks who underwent prenatal examination in the Maternal and Child Health Department of Tibet Autonomous Region People's Hospital from September 2019 to September 2020 were collected.According to the observation of whether there were infection clue cells under the microscope,women with the clue cells infected were group A(160 cases),and the uninfected cases were group B(80 cases).The adverse pregnancy outcomes such as premature birth and premature rupture of membranes were compared between the two groups.Results There were 67 cases(41.88%)of premature birth in group A,which was higher than 9 cases(11.25%)in group B,and the difference was statistically significant(P<0.05).There were significant differences in gestational weeks of delivery[(37.4±2.2)weeks vs(38.5±2.0)weeks],neonatal weight[(2637.7±653.7)g vs(2962.8±487.9)g],1 min Apgar score[(8.4±1.3)points vs(8.8±0.5)points]and 5 min Apgar score[(9.3±1.3)points vs(9.8±0.4)points]between group A and group B(P<0.05).Conclusions The incidence of preterm birth in pregnant women with clue cell infection is higher than that in the uninfected women.Therefore,it is necessary to improve maternal awareness of preterm birth,pay attention to the harm of bacterial vaginosis caused by clue cell infection to preterm birth,timely obstetric examination,and strengthen pregnancy management.It is of great significance to improve pregnancy outcomes and improve the quality of newborns.

关 键 词：早产 阴道线索细胞 妊娠合并细菌性阴道病 妊娠结局 

分 类 号：R714.21[医药卫生—妇产科学]