足月胎膜早破孕妇B族链球菌带菌情况及其与新生儿感染的相关性分析  

Prevalence of group B streptococcus in pregnant women with full-term premature rupture of membranes and analysis of correlation with neonatal infection

作　　者：何丽丽 He Lili(Department of Obstetrics,Panyu District Central Hospital,Guangzhou,Guangdong 511400,China)

机构地区：[1]广州市番禺区中心医院产科,广东广州511400

出　　处：《实用妇科内分泌电子杂志》2022年第33期13-15,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的探讨足月胎膜早破孕妇B族链球菌带菌情况与新生儿感染的相关性。方法回顾性分析60例足月胎膜早破产妇的临床资料,B组链球菌感染阳性产妇30例作为研究组,B组链球菌感染阴性30例作为对照组。所有研究对象均接受B组链球菌感染情况的检查,分析两组新生儿感染情况,统计两组的一般资料并进行单因素分析,采用多因素Logistic回归分析B族链球菌阳性的高危因素。结果研究组新生儿感染总发生率33.33%高于对照组的6.67%;单因素及多因素分析结果显示,年龄≥30岁、合并糖尿病以及阴道炎均为影响B族链球菌阳性的高危因素,差异有统计学意义(P<0.05)。结论产妇年龄≥30岁、合并糖尿病以及阴道炎均为影响足月胎膜早破孕妇B族链球菌阳性的高危因素,而产妇B族链球菌阳性增加新生儿感染风险,建议临床进行产前筛查,以降低新生儿感染发生率。Objective To investigate the correlation between group B streptococcus carrier in pregnant women with full-term premature rupture of membranes and neonatal infection.Methods 60 cases of full-term women with premature prenatal membranes were retrospectively selected.Among them,30 parturients who were positive for streptococcus infection in group B were taken as the study group,and 30 parturients who were negative for streptococcus infection in group B were taken as the control group.All the subjects were examined for group B streptococcus infection and the neonatal infection was analyzed in the two groups.The general information of the two groups was analyzed by univariate analysis of completion degree and multivariate Logistic regression was used to analyze the high risk factors for group B streptococcus positivity.Results The total infection rate of neonates in the study group was 33.33%,which was higher than 6.67%in the control group.Univariate and multivariate analysis showed that age≥30 years old,diabetes mellitus and vaginitis were all the high risk factors for the positive of group B streptococcus,the differences were statistically significant(P<0.05).Conclusion Maternal age≥30 years old,combined with diabetes and vaginitis are the high risk factors aff ecting the group B streptococcus positivity in full-term premature rupture of membranes pregnant women,and the group B streptococcus positivity in maternal increased the risk of neonatal infection.It is recommended to conduct clinical prenatal screening to reduce the incidence of neonatal infection.

关 键 词：胎膜早破 B族链球菌 新生儿感染 

分 类 号：R714.433[医药卫生—妇产科学]