妊娠晚期细菌性阴道病54例临床分析

目的了解本院孕妇细菌性阴道病(bacterial vaginosis, BV)的患病情况及其对母儿的影响.方法采用BV的综合诊断标准筛查妊娠晚期孕妇,追踪54例BV阳性者(研究组)的妊娠结局;并以相同数量的54例BV阴性者(对照组)作对照进行比较.结果妊娠晚期BV阳性率为21.60%(54/250),研究组中绒毛膜羊膜炎、早产、胎膜早破及产褥感染的发生率分别为31.48%(17/54) 、25.93%(14/54) 、20.37%(11/54)及22.22%(12/54),明显高于对照组,两组比较差异有显著性.结论晚期妊娠合并BV感染导致妊娠及产褥期并发症增加,应常规筛查,及时治疗以改善患者的不良结局.

The Clinical Analysis of 54 Cases of Pregnancy Women in later-term with Bacterial Vaginosis

Objective To study the rate of Bacterial vaginosis (BV) in later-term pregnant women in our hospital, and the effect on perinatal prognosis. Methods BV was determined by integrate assay in samples of vaginal secretion from later-term pregnancy women. Trail the perinatal prognosis in 54 cases of BV positive(study group) and compared that with 54 normal pregnant women at same gestational weeks (control group). Results Positive rate of BV in later-term pregnant women was 19.29%(54/280). The incidence of chorioamnionitis, preterm rupture of membrane, preterm labor and puerperal infection in the study group was 31.48% (17/54), 25.93 % (14/54), 20.37% (11/54) and 22.22% (12/54), respectively. They were significantly higher than that in the control group. Conclusion The complications were increase in later-term pregnant and puerperal women with BV, we need filtrate BV in pregnant women routinely and treat it timely to reduce the bad prognosis.