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目的:探讨围生期支原体感染与产后子宫内膜炎的关系。方法:采用支原体培养法检测围生期孕妇阴道及宫颈解脲支原体(UU)及人型支原体(Mh),并对UU进行生物分群,观察病例组及对照组阳性率及早产的发生率。结果:观察组UU的阳性率为28.2,对照组的阳性率为10.0,差异有显著性(P<0.05)。观察组Mh的阳性率为18.3,对照组的阳性率为15.0,差异无显著性(P>0.05)。UU生物一群的检出率两组没有差异。观察组中早产的发生率为28.3,对照组中没有早产发生。观察组中剖宫产的发生率为64.7,对照组为25.0,差异有显著性(P<0.05)。结论:围生期支原体感染可能导致产后子宫内膜炎。
Objective: To investigate the relationship between perinatal mycoplasma infection and postpartum endometritis. Methods: Mycoplasma culture was used to detect UU and Mh in pregnant women of perinatal period. The UU was divided into groups. The positive rates of cases and controls and the incidence of preterm birth were observed. Results: The positive rate of UU in observation group was 28.2 and that in control group was 10.0, the difference was significant (P <0.05). The positive rate of Mh in observation group was 18.3, and the positive rate of control group was 15.0, the difference was not significant (P> 0.05). There was no difference between the two groups for the detection rate of UU organisms. The incidence of preterm birth in the observation group was 28.3 and no preterm birth in the control group. The incidence of cesarean section was 64.7 in the observation group and 25.0 in the control group, the difference was significant (P <0.05). Conclusion: Perinatal mycoplasma infection may lead to postpartum endometritis.