中国临床医学2017，Vol.24Issue(1)：56-59,4.DOI:10.12025/j.issn.1008-6358.2017.20160887
妊娠晚期B族链球菌感染对孕妇阴道清洁度及不良妊娠结局的影响
Relation of group B Streptococcus and vaginal clearing degree and adverse pregnancy outcome
摘要
Abstract
Objective:To discuss the relationship between vaginal colonization of group B Streptococcus(GBS)and vaginal clearing degree,and the adverse pregnancy outcome.Methods:Totally 1864 cases of pregnant women after 35 weeks taking regular prenatal and delivery in Department of Gynecology,Maternal and Child Health Hospital of Jiading District in Shanghai City from Jun.2012 to Aug.2014 were enrolled.The vaginal clearing degree and GBS was detected regularly.The GBS carrier rates were compared between the two groups of normal and abnormal vaginal clearing degree.The incidences of premature rupture of membranes,premature delivery and puerperal infection were observed in GBS positive and negative groups.Results:In the 1864 cases,the GBS positive rate was 5.15% (96/1864).In 1057 cases of pregnant women with normal vaginal clearing degree,GBS positive rate was 3.60%(38/1057).In the 807 cases with abnormal clearing degree,the GBS positive rate was 7.19%(58/807,P= 0.001).The incidences of premature rupture of membranes and puerperal infection of pregnant women with GBS infection increased (P<0.05),and the risk (odds ratio,OR)increased by 13.40 times,2.20 times,respectively.Conclusions:GBS carrier rate of pregnant women with abnormal vaginal cleaning degree is higher.GBS infection had adverse effects on perinatal outcome.It suggests that GBS detection in the late pregnancy is necessary.关键词
妊娠晚期/阴道清洁度/B族链球菌/围产期结局Key words
late pregnancy/vaginal clearing degree/the group B Streptococcus/perinatal outcome分类
医药卫生引用本文复制引用
唐江萍,邓娟,奚杰,赵鑫鑫,洪喜萍,程明军..妊娠晚期B族链球菌感染对孕妇阴道清洁度及不良妊娠结局的影响[J].中国临床医学,2017,24(1):56-59,4.基金项目
上海市医学重点专科建设项目(ZK2015B08),上海市嘉定区卫生局科研项目(KYXM 2011-12-09).Supported by Key Medical Construction Project of Shanghai(ZK2015B08)and Project of Jiading District Health Bureau of Shanghai (KYXM 2011-12-09). （ZK2015B08）
