妊娠晚期细菌性阴道病与妊娠结局的临床分析

目的：观察妊娠期细菌性阴道病（ BV）对妊娠结局的不良影响。方法选择2011至2012年在延安大学附属医院产科门诊就诊，孕龄＞35周的妊娠晚期妇女，将BV检测阳性的孕妇138例为BV组，将200例正常孕妇为对照组，跟踪观察其妊娠结局。结果 BV组的早产、胎膜早破、产褥感染、宫内感染明显高于对照组（χ^2值为10．730～35．628，均P＜0．05）；BV组围生儿的胎儿窘迫、新生儿感染、新生儿黄疸、低出生体重儿明显高于对照组（χ^2值为21．607～33．511，均P＜0．05）。结论妊娠期BV可明显增加早产、胎膜早破、产褥感染、新生儿感染等不良妊娠结局的发生率，故对妊娠期进行常规BV筛查和治疗是十分必要的。

Clinical analysis of bacterial vaginosis at late pregnancy and pregnancy outcomes

Objective To observe the adverse effects of bacterial vaginosis （ BV） during late pregnancy on pregnancy outcomes .Methods Pregnant women with gestational age 〉35 weeks who visiting the outpatient clinic of obstetrics of Yan ’ an University Affiliated Hospital in 2011 and 2012 were observed .Totally 138 pregnant women with positive results of BV were recruited in BV group , and 200 normal pregnant women were selected in control group .The pregnancy outcomes of them were observed .Results The incidences of preterm birth , premature rupture of membrane , puerperal infection and intrauterine infection in BV group were significantly higher than those of the control group （χ^2 value ranged 10.730-35.628, all P〈0.05）.The incidences of fetal distress of perinatal infants , neonatal infection, jaundice of newborn and low birth weight in BV group were higher than those of the control group （χ^2 value ranged 21.607 -33.511, all P〈0.05）.Conclusion Pregnancy with BV can obviously increase the incidence of preterm birth , premature rupture of membrane, puerperal infection and neonatal infection and other adverse outcomes , so screening of BV and treatment during pregnancy are quite necessary .