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目的:分析探讨孕妇生殖道B族链球菌感染与胎膜早破的关系及对母儿预后的影响。方法:选择2014年2月-2015年2月本院收治96例胎膜早破住院孕妇作为观察组,同期96例正常妊娠孕妇作为对照组,分别检测两组孕妇的生殖道B族链球菌感染情况,进一步分析孕妇生殖道B族链球菌感染对母儿预后的影响。结果:观察组中,生殖道B族链球菌感染发生率为20.83%;对照组中,生殖道B族链球菌感染发生率为5.21%,组间比较,差异具有统计学意义(P<0.05)。在观察组中,生殖道B族链球菌感染阳性组胎儿窘迫5例、绒毛膜羊膜炎3例、新生儿肺炎3例;生殖道B族链球菌感染阴性组致使胎儿窘迫7例、绒毛膜羊膜炎3例、新生儿肺炎3例,组间比较,差异具有统计学意义(P<0.05)。结论:胎膜早破孕妇易引发生殖道B族链球菌感染,并母婴预后造成较大的影响。
Objective: To analyze the relationship between genital B group streptococcal infection and premature rupture of membranes in pregnant women and its effect on the prognosis of pregnant women. Methods: A total of 96 pregnant women with premature rupture of membranes admitted to our hospital from February 2014 to February 2015 were enrolled in this study. 96 normal pregnant women were selected as the control group during the same period, and genital tract B streptococcal infection Situation, further analysis of pregnant women genital tract B streptococcal infection on the prognosis of maternal and child. Results: In the observation group, the genital tract B streptococcal infection rate was 20.83%. In the control group, genital tract B streptococcal infection rate was 5.21%, the difference between the two groups was statistically significant (P <0.05) . In the observation group, 5 cases of fetal distress in genital B streptococcal positive group, 3 cases of chorioamnionitis, 3 cases of neonatal pneumonia; genital tract B streptococcal negative group caused by fetal distress in 7 cases, chorionic amniotic membrane 3 cases of inflammation, 3 cases of neonatal pneumonia, the difference between the two groups was statistically significant (P <0.05). Conclusion: Pregnant women with premature rupture of membranes have a tendency to cause genital tract B streptococcal infection and have a great influence on their prognosis.