细菌性阴道炎对产妇产褥感染的影响

目的评价细菌性阴道炎（BV）对产褥感染的影响。方法120例细菌性阴道炎产妇，其中38例产妇行剖宫产手术，82例产妇经阴道分娩；对照组120例非细菌性阴道炎产妇，41例行剖宫产手术，79例经阴道分娩。分别统计剖宫产产妇BV组和对照组的产褥感染的发病率，以及经阴道分娩产妇BV组和对照组的产褥感染的发病率，并进行统计学分析。结果剖宫产产妇BV组产褥感染的发生率为21．1％，非BV产妇组为4．87％，两组比较存在明显差异（P〈0．05）；经阴道分娩产妇BV组产褥感染率为4．9％，非BV产妇为2．5％，两组比较无明显差异（P〉0．1）。结论细菌性阴道炎增加剖宫产产妇产褥感染发病率，而对经阴道分娩产妇无明显影响。

The influence of bacterial vaginitis of the parturient on puerperal infection

Objective To evaluate the influence of bacterial vaginitis on puerperal infection in parturients. Methods One hundred and twenty parturients （38 Caesarean delivery, 82 vaginal delivery） with bacterial vaginitis （BV） were assigned in experiment group. The same number of parturients （41 Caesarean delivery, 79 vaginal delivery） without bacterial vaginitis were as control, The incidences of puerperal infection in BV and non - BV groups of the parturients who underwent Caesarean delivery or vaginal delivery were analyzed respectively. Results The incidences of puerperal infection of BV and non - BV groups of the parturients underwent Caesarean delivery were 21.1% and 4, 87% respectively, and there was significantly difference between the two groups（ P 〈 0, 05 ）. The incidences of puerperal infection of BV and non-BV groups of the parturients underwent vaginal delivery were4.9% and 2.5% respectively, there was no significantly difference between the two groups（ P 〉0.1 ）. Conchlsion Bacterial vaginitis increases significantly the incidence of puerperal infection in parturients with Caesarean delivery, but not in parturients with vaginal delivery.