4823例妊娠早期妇女生殖道感染情况分析

目的调查了解妊娠早期妇女生殖道感染情况,为进一步开展综合防治提供依据。方法选择2010年1～12月在成都市妇女儿童中心医院产科门诊建卡行初次产前检查的妊娠早期妇女4 823例（妊娠时间小于或等于12周）,取阴道及宫颈分泌物进行外阴阴道假丝酵母菌病（VVC）、滴虫（T）、细菌性阴道病（BV）、支原体（Uu或Mh）、衣原体（CT）检测。结果妊娠合并生殖道感染（RTI）总患病率为35.9%,其中Uu、BV、VVC、CT、T的患病率分别为17.0%、12.3%、8.5%、7.9%、1.0%,且患病率与是否进行过孕前检查有关。结论孕前检查与否和妊娠合并RTI关系极大,故加强孕前检查是降低妊娠妇女RTI患病率的有效方法。

Analysis on reproductive tract infections of 4 823 early pregnancy women

Objective To investigate and understand the reproductive tract infection status in early pregnant women to provide the basis for further conducting the comprehensive prevention and treatment. Methods 4823 pregnant women （gestational age ≤12 weeks） received the first prenatal examination by establishing card in the maternity clinic of our hospital from January 2010 to December 2010. The vaginal and cervical secretions were collected for performing vulvovaginal candidiasis （VVC）, trichomoniasis （T）, bacterial vaginosis （BV）, mycoplasma Ureapplasma urealyticum（UU）or Mycoplasma genitallium（Mh）],chlamydia （CT） tests. Results The overall morbidity rate of pregnant complicating reproductive tract infection（RTI） was 35.9%, the morbidity rates of UU,BV,VVC,CT and T were 17.0% ,12.3% ,8.5% ,7.9% and 1.0% and the morbidity rate was related with prepregnant examination. Conclusion Prepregnant examination is extremely related with pregnancy complicating RTI. Therefore, enhancing prepregnant examination is an effective method to reduce the prevalence of pregnant women complicating RTI.