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目的探讨治疗妊娠晚期B族链球菌(GBS)感染对妊娠结局的影响。方法从梅州市中医医院2014年1月-2016年11月收治的妊娠晚期GBS感染患者中选取120例进行研究,并根据是否接受干预治疗分为研究组和对照组各60例,由于34周前后,早产儿的预后差异较大,所以将研究组再分为A、B两组,A组26例,孕32~33周;B组34例,孕34~36周。对照组不予干预,研究组接受干预,比较两组患者的妊娠结局。结果 (1)A、B组的早产、胎膜早破、宫内感染、产褥感染的发生率均显著低于对照组,差异均具有统计学意义(P<0.05),但A组和B组差异均无统计学意义(P>0.05)。(2)A、B组的住院时间均显著短于对照组,且A组短于B组,差异均具有统计学意义(P<0.05)。结论通过对妊娠晚期感染GBS进行治疗干预,能有效预防早产,降低新生儿感染率和病死率,减少妊娠不良结局的发生,提高围产期的保健质量,对提高生育质量有很大帮助。
Objective To investigate the effect of treating late pregnancy B streptococcal (GBS) infection on pregnancy outcome. Methods A total of 120 cases of GBS infection from the third trimester of pregnancy in Meizhou TCM Hospital from January 2014 to November 2016 were selected and divided into study group and control group according to whether they were treated or not. , The prognosis of preterm children is quite different, so the study group was further divided into A, B two groups, A group of 26 cases, pregnant 32-33 weeks; B group 34 cases, 34-36 weeks pregnant. The control group did not intervene and the study group received intervention to compare the pregnancy outcome of the two groups. Results (1) The incidence of premature labor, premature rupture of membranes, intrauterine infection and puerperal infection in groups A and B were significantly lower than those in control group (P <0.05) Group differences were not statistically significant (P> 0.05). (2) The length of hospital stay in group A and group B was significantly shorter than that in control group, and the difference between group A and group B was statistically significant (P <0.05). Conclusions The treatment of GBS infection in the third trimester of pregnancy can effectively prevent premature delivery, reduce the neonatal infection rate and mortality, reduce the incidence of adverse pregnancy outcomes, improve the quality of perinatal health care and improve the quality of childbirth.