支原体属感染对妊娠晚期孕妇的临床影响

Clinical effect of mycoplasma infection on pregnant women in late trimester of pregnancy

  • 摘要: 目的 探讨支原体属感染对妊娠晚期孕妇围产结局的临床实际影响,为妊娠产检和实践提供借鉴。方法 选取2013年11月-2014年10月妊娠晚期孕妇634例为研究对象,根据孕妇支原体属培养结果分为阳性组153例和阴性组481例,对两组孕妇和新生儿的并发症发生情况进行观察和比较,数据采用SPSS 19.0软件进行统计分析。结果 阳性组新生儿支原体属阳性68例,阳性率44.44%,阴性组481例新生儿支原体属阳性6例,阳性率1.25%;阳性组孕妇围产期胎膜早破、胎儿窘迫、早产、产褥病发生率分别为43.14%、21.57%、15.69%、11.11%,均高于阴性组,两组比较,差异均有统计学意义(P<0.05)。结论 支原体属感染可导致妊娠晚期孕妇及其胎儿并发症发生率升高,早期针对孕妇支原体属感染筛查对预防不良围产结局的发生具有重要的临床意义。

     

    Abstract: OBJECTIVE To explore the actual effect of mycoplasma infection on perinatal outcome in late trimester of pregnancy, so as to provide reference for pregnancy check study and practice. METHODS A total of 634 cases of pregnant women in late trimester of pregnancy from Nov. 2013 to Oct. 2014 were chosen as the research objects. Based on mycoplasma culture results, they were grouped into the positive group and the negative group, 153 cases and 481 cases respectively. The complications for the two groups of pregnant women and newborns were observed and compared, using SPSS 19.0 to analysis. RESULTS In positive group newborns, the positive mycoplasma was in 68 cases, and the positive rate was 44.44%. In the negative group of 481 cases of newborns, positive mycoplasma was in 6 cases, and the positive rate was 1.25%. The rates of perinatal premature rupture of membranes, fetal distress, premature delivery and puerperal disease occurrence for the positive group of pregnant women were 43.14%, 21.57%, 15.69%, 11.11%, which were higher than the negative group (P<0.05). CONCLUSION Mycoplasma infection can cause the increasing of complications in late trimester of pregnancy for pregnant women and their fetuses. Early screening of mycoplasma infection for pregnant women may have great clinical significance in prevention of adverse perinatal outcomes.

     

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