本文選題：妊娠晚期　切入點(diǎn)：B族鏈球菌感染　出處：《實用婦科內(nèi)分泌雜志(電子版)》2017年03期 　論文類型：期刊論文

【摘要】：目的觀察孕婦妊娠晚期B族鏈球菌感染對妊娠結(jié)局及新生兒的影響。方法統(tǒng)計本院于2014年12月至2015年6月收治的婦產(chǎn)科檢查孕婦共計326例作為研究對象,對所有產(chǎn)婦的B族鏈球菌感染概率進(jìn)行統(tǒng)計,對比感染與非感染組孕婦的妊娠結(jié)局以及新生兒的綜合情況。結(jié)果本次研究的326例孕婦中,有29例B族鏈球菌感染呈陽性,占比8.90%,其余297例孕婦B族鏈球菌感染結(jié)果呈陰性,占比91.10%;29例B族鏈球菌感染陽性孕婦的妊娠結(jié)局為:5例宮內(nèi)感染,占17.24%;3例產(chǎn)后出血,占10.34%;7例早產(chǎn),占24.14%;14例胎兒窘迫,占48.28%;6例羊水污染,占20.69%。新生兒5例宮內(nèi)感染,占17.24%;3例肺炎,占10.34%;6例病理性黃疸,占20.69%;3例窒息,占10.34%。297例B族鏈球菌感染陰性孕婦的妊娠結(jié)局為:13例宮內(nèi)感染,占4.38%;9例產(chǎn)后出血,占3.03%;23例早產(chǎn),占7.74%;69例胎兒窘迫,占23.23%;16例羊水污染,占6.40%。新生兒11例宮內(nèi)感染,占3.70%;8例肺炎,占2.69%;19例病理性黃疸,占6.40%;9例窒息,占3.03%。兩組孕婦的妊娠結(jié)局各指標(biāo)和新生兒綜合情況指標(biāo)之間均具有明顯的統(tǒng)計學(xué)差異(P0.05)。結(jié)論孕婦妊娠晚期B族鏈球菌感染更容易引發(fā)不良妊娠結(jié)局,同時也會對新生兒造成負(fù)面影響。因此應(yīng)當(dāng)提高對孕婦B族鏈球菌感染的重視程度,做好預(yù)防,一旦發(fā)現(xiàn),應(yīng)及早干預(yù)治療,確保圍產(chǎn)期母嬰健康。
[Abstract]:Objective to observe the effect of group B streptococcus infection in late pregnancy on pregnancy outcome and newborn. Methods 326 pregnant women who were admitted to our hospital from December 2014 to June 2015 were studied. The probability of group B streptococcus infection in all parturients was statistically analyzed, and the pregnancy outcome and the comprehensive situation of newborns in infected and non-infected pregnant women were compared. Results among 326 pregnant women in this study, 29 cases were positive for Group B streptococcus infection. The results of the other 297 pregnant women with Group B streptococcus infection were negative, and the pregnancy outcome of 29 pregnant women with positive group B streptococcus infection was 5 cases of intrauterine infection, 17.24 cases of postpartum hemorrhage, 10.34% of premature delivery, and 24.14 cases of fetal distress. There were 6 cases of amniotic fluid pollution, accounting for 20.69% of amniotic fluid pollution, 5 cases of intrauterine infection, 17.2424 cases of pneumonia, 10.3434 cases of pathological jaundice, 20.699 cases of asphyxia, 10.34.297 cases of group B streptococcus infection negative pregnant women, the pregnancy outcome was 13 cases of intrauterine infection, 9 cases of postpartum hemorrhage. There were 23 cases of premature delivery, 7.74 cases of fetal distress, 23.23 cases of amniotic fluid pollution, 6.40% of amniotic fluid pollution, 11 cases of intrauterine infection, 3.70 cases of pneumonia, 2.69% of pathological jaundice, 6.40 cases of asphyxia, and 2.69% of pathological jaundice. There were significant statistical differences between the two groups of pregnant women's pregnancy outcome indexes and neonatal comprehensive conditions. Conclusion pregnant women with Group B Streptococcus infection in late pregnancy are more likely to cause adverse pregnancy outcomes. Therefore, we should pay more attention to group B streptococcus infection of pregnant women and prevent it. Once found, we should intervene early to ensure the health of perinatal mothers and infants.
【作者單位】： 重慶市渝中區(qū)大坪醫(yī)院門診產(chǎn)科;
【分類號】：R714.7

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