孕妇感染解脲脲原体及沙眼衣原体对妊娠结局及其新生儿的影响

目的：了解孕妇解脲脲原体（UU）、沙眼衣原体（CT）的感染率，探讨孕妇感染后对妊娠结 局及其新生儿的影响。 方法：取孕妇宫颈黏液及其新生儿咽分泌物共221例，应用细胞培养法对UU、CT进行培养，追踪其妊娠结局及新生儿结局。 结果：孕妇UU感染50例, CT感染48例,二者混合感染10例。妊娠期感染UU、CT可以导致早产、胎膜早破、胎儿宫内窘迫、低体重儿；感染孕妇其新生儿可出现感染、肺炎及发热。其中胎膜早破的发生率最高，其次为早产; UU感染引起胎膜早破及早产的几率高于CT感染；二者混合感染率虽然较低，一旦出现，发生不良妊娠结局的机会将明显增高。 结论：孕期感染UU、CT可导致各种不良妊娠结局；感染UU、CT的孕妇其新生儿具有一定的感染率，并因此导致新生儿发热及新生儿肺炎的发病率明显增加, 同时与死产有关。感染孕妇的分娩方式与新生儿是否感染无关。

Influences of Chlamydia trachomatis and Ureaplasma urealyticum infection in pregnant women in pregnant outcome and neonates

Objective To determine the prevalence of Ureaplasma urealyticum (UU) and Chlamydia trachomatis (CT) in pregnant women on pregnant outcome and neonates. Methods 221 specimens of cervical svab and pharyax of neonates were collected and detected for UU and CT by cell culture method meanwhile pregnant outcome and neonatal situation were followed up. Results There were 50 pregnant women with UU infection as well as 48 cases of CT infection ; Compound infection were 10 cases. UU and CT infection in pregnant women could result in premature delivery, premature rupture of membrance,fetal distress,low weight infant.The incidence of premature rupture of membrance was the highest, premature delivery was junior; the incidence of premature rupture of membrance and premature delivery resulted from infection UU was much higher then CT infection; the rate of compound infection was low but when it occurred, the incident opportunity of harmful pregnant outcome would increase obviously.Conclusion UU and CT infection in pregnant women can result in various harmful pregnant outcome. Pregnant women and infants infected by UU and CT have definite infection rates and reduce the apparent increase of incidence of neonate fever and neonate pneumonia simultaneously, and relation with stillbirth. There is no significant relationship between the delivery management and neonate infection.