黔江区孕妇B族链球菌带菌与妊娠结局的关系

doi:10.3969/j.issn.1006-6233.2017.06.025

摘要
图/表
参考文献(14)
相关文章 (2)

全文: PDF (1405 KB) HTML (1 KB)
输出: BibTeX | EndNote (RIS)

摘要 目的: 探讨孕妇B族链球菌(GBS)带菌状况及其对妊娠结局的影响。方法: 选取在我院进行常规产检的单胎宫内妊娠孕妇800例,所有产妇在产前进行B组链球菌常规检测,根据检测结果分为GBS阳性组和GBS阴性组,观察比较两组的妊娠结局。结果: B族链球菌检出57例,GBS阳性率为7.1%,GBS阳性组的流产率、宫内感染率、羊水污染率、产后出血率、新生儿感染率和新生儿窘迫发生率均高于GBS阴性组,差异具有统计学意义(P<0.05)。结论: B组链球菌感染可增加孕妇流产、宫内感染、羊水污染、产后出血、新生儿感染和新生儿窘迫的发生几率,对妊娠结局有不良影响,应引起重视。

	服务

	把本文推荐给朋友
	加入我的书架
	加入引用管理器
	E-mail Alert
	RSS
	作者相关文章

关键词 ：孕妇, B组链球菌, 带菌, 妊娠结局, 影响

Abstract：Objective: To investigate the relationship between the pregnancy outcome and group B streptococcus of pregnancy in Qianjiang. Methods: 800 cases of single fetal intrauterine pregnant women who taken regular prenatal in our hospital were included in the study, all of the pregnant woman were taken in B streptococcus routine detection, then they were divided into GBS positive group and GBS negative group according to the results. The perinatal outcomes of two groups were compared. Resluts: 57 cases were infected GBS, the GBS positive rate was 7.1%. The rate of abortion, intrauterine infection, amniotic fluid contamination, postpartum hemorrhage, fetal infection and fetal distress of GBS positive group were significantly higher than the GBS negative group. Spearman correlation analysis showed that GBS had positive correlation with abortion, intrauterine infection, amniotic fluid contamination, fetal infection and fetal distress(r =2.306, 5.230, 4.052, 2.548, 3.647, P<0.05). Conclusions: Group B streptococcus can increase the incidence rate of abortion, intrauterine infection, amniotic fluid contamination, fetal infection and fetal distress, had bad effect on pregnancy outcome, should be taken into consideration seriously.

Key words： Pregenant Group B streptococcus Perinatal outcome Effect

基金资助:重庆市黔江区科技计划项目,(编号:黔科计2016056)

通讯作者: 皮丹

引用本文:

刘妮, 皮丹, 冯翠容, 杨扬, 王秀珍. 黔江区孕妇B族链球菌带菌与妊娠结局的关系[J]. 河北医学, 2017, 23(6): 965-967.
LIU Ni, PI Dan, FENG Cuirong, et al. Study on the Relationship between the Pregnancy Outcome and Group B Streptococcus of Pregnancy in Qianjiang. 河北医学, 2017, 23(6): 965-967.

链接本文:

http://www.hbyxzzs.cn/CN/10.3969/j.issn.1006-6233.2017.06.025 或 http://www.hbyxzzs.cn/CN/Y2017/V23/I6/965

[1] 严育忠,华静,范惠清,等.围产期B族链球菌感染的研究进展[J].中华围产医学杂志,2011,14(12):758~763.
[2] 何国才,白清,李高.妊娠晚期孕妇B族链球菌感染的研究状况[J].医学综述,2012,18(14):2255~2257.
[3] Deutscher M,Lewis M,Zell E R,et al.Incidence and severity of invasive streptococcus pneumoniae,group A streptococcus,and group B streptococcus infections among pregnant and postpartum women[J].Clinical Infectious Diseases,2011,53(2):114~123.
[4] 仝净净,姚开虎,杨永弘.新生儿B族链球菌感染预防策略的研究进展[J].中国当代儿科杂志,2014,16(10):1075~1080.
[5] 应豪,孟珍妮.围产期B族链球菌感染筛查与诊治[J].中国实用妇科与产科杂志,2016,32(6):520~522.
[6] 黄晓玲,何艳君,林云霞.中山市妊娠晚期妇女B族链球菌带菌情况调查[J].实用医学杂志,2015(17):2905~2906.
[7] Dahan-Saal J,Gérardin P,Robillard P Y,et al.Determinants of group B streptococcus maternal colonization and factors related to its vertical perinatal transmission:case-control study[J].Gynécologie Obstétrique&Fertilité,2011,39(5):281~288.
[8] 杨宇奇,张晓青,张峰,等.妊娠晚期孕妇B族链球菌筛查结果分析[J].现代医药卫生,2014,30(22):3370~3371.
[9] 梁小兵,梁雄,赵喜元,等.应用免疫层析法快速检测孕妇生殖道B族链球菌的临床研究[J].标记免疫分析与临床,2015,22(3):224~225.
[10] 张静华,袁应华,成洁,等.妊娠末期B族链球菌检测方法的评估[J].检验医学,2016,31(11):974~977.
[11] Gijsen R,Hukkelhoven C W,Schipper C M A,et al.Effects of hospital delivery during off-hours on perinatal outcome in several subgroups:a retrospective cohort study[J].BMC Pregnancy and Childbirth,2012,12(1):1~11.
[12] 朱燕飞,施美华,王萍.妊娠晚期生殖道B族链球菌感染对母婴预后的影响[J].中华医院感染学杂志,2016,26(22):5202~5203.
[13] Peixoto A B,Tm R D C C,Godoy Silva T A,et al.Assessment of ultrasound and doppler parameters in the third trimester of pregnancy as predictors of adverse perinatal outcome in unselected pregnancies[J].Ginekologia Polska,2016,87(7):510.
[14] 陶丽静,陈文惠,邓剑玲.B族链球菌对妊娠结局和新生儿的影响[J].现代诊断与治疗,2013(19):4429~4430.