妊娠合并细菌性阴道病的研究

目的：确定妊娠合并细菌性阴道病（ＢＶ）的发病情况，探讨妊娠合并ＢＶ与不良妊娠结局的关系。方法：根据临床表现和阴道革兰染色涂片镜检，对不同孕期的３８０名健康孕妇进行ＢＶ发病情况调查，并对其妊娠结局进行随诊。结果：妊娠合并ＢＶ的检出率为６．８％（２６／３８０）。妊娠合并ＢＶ孕妇的产褥感染、新生儿感染及新生儿黄疸的发生率，依次为１４．３％（３／２１）、９．５％（２／２１）及２３．８％（５／２１），高于无合并ＢＶ者（分别为２．２％、１．３％及５．４％，Ｐ＜０．０５，Ｐ＜０．０５，Ｐ＜０．００５）。结论：妊娠合并ＢＶ与母儿感染有关，有必要对妊娠合并ＢＶ孕妇进行治疗。

Bacterial Vaginosis in Pregnant Women

Objectives: To determine the prevalence of bacterial vaginosis (BV) in pregnant women and to assess the association between BV and adverse pregnancy outcome. Methods: Bacterial vaginosis was screened in 380 healthy pregnant women during different gestational weeks by clinical features and Grams stained vaginal smears. The pregnancy outcome of these gravidae was followed up. Results: The prevalence of BV in pregnant women was 6.8% (26/380). The incidence of puerperal infection, neonatal infection, and jaundice of newborn were higher in women with BV than those without BV (14.3%, 9.5%, and 23.8% v.s.2.2%, 1.3%, and 5.4%, respectively P<0.05, P<0.05, P<0.005 ). Conclusion: Pregnant women with BV are associated with maternal infection, neonatal infection, and jaundice of newborn. It is necessary to treat BV during pregnancy.