copeland>2014福建高考数学中国当代医药2020年3月第27卷第9期CHINA MODERN MEDICINE Vol.27No.9March 2020·检验医学·
B 族链球菌(GBS)是导致孕产妇妊娠期间感染性疾病及分娩后产褥感染的重要原因,其还具有通过产
道上行传播至羊膜腔中诱发胎儿感染的可能性,研究结果显示GBS 还可能导致不良妊娠结局[1-2]。GBS 感染对围产期母儿危害极大,同时也受种族等因素影响,针对欧美女性的研究显示,GBS 在孕妇中感染率可以达到35%,故早在2010年美国疾控中心针对所有孕35~37周的妊娠晚期孕妇进行GBS 筛查及防治,使围生期孕妇GBS 感染率极大的降低[3]。而目前国内也已经将GBS 感染作为影响孕妇妊娠、分娩及新
描写天气的词语生儿出生后发生感染的重要因素,为降低晚期孕妇的
GBS 感染及减少不良妊娠结局的发生,本研究旨在分析GBS 感染与晚期孕妇生殖道清洁度及对妊娠结局
guesthou的影响,指导临床进行早期干预及治疗,现报道如下。
B 族链球菌感染对妊娠晚期孕妇阴道清洁度
still怎么读
bdcom及不良妊娠结局的影响
毛晓萍朱世明刘全
广东省中山市坦背医院检验科,广东中山
528414[摘要]目的探讨B 族链球菌(GBS)感染对妊娠晚期孕妇阴道清洁度及不良妊娠结局的影响。方法选择2016年1月~2018年1月在广东省中山市坦背医院产科检查的1240例孕35周以上的孕妇为研究对象。所有孕妇均进行阴道清洁度检测及阴道分泌物GBS 培养,之后所有孕妇均于我院分娩。根据孕前阴道分泌物GBS 培养结果将孕产妇分为阳性组(n =100)及阴性组(n =1140),比较两组孕产妇阴道清洁度情况及不良妊娠结局。结果阳性组孕妇阴道清洁度异常率为62.00%(62/100),高于阴性组的34.91%(398/1140),差异有统计学意义(χ2=28.908,P <0.01)。阳性组孕妇的胎膜早破、早产、产褥感染、胎儿宫内窘迫及新生儿感染发生率均高于阴性组,差异有统计学意义(P <0.05)。结论GBS 感染会导致晚期孕产妇阴道清洁度下降,甚至可能诱发不良妊娠结局,故在孕妇妊娠晚期应加强GBS 检测。
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[关键词]妊娠晚期;B 族链球菌;阴道清洁度;不良妊娠结局
[中图分类号]R722.131[文献标识码]A [文章编号]1674-4721(2020)3(c)-0141-03
Effect of Group B Streptococcal infection on vaginal cleanliness and ad⁃ver pregnancy outcome in late pregnant women
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MAO Xiao-ping ZHU Shi-ming LIU Quan Department of Laboratory,Tanbei Hospital in Zhongshan City,Guangdong Province,Zhongshan 528414,China [Abstract]Objective To investigate the effect of Group B Streptococcus (GBS)infection on vaginal cleanliness and adver pregnancy outcome in late pregnant women.Methods A total of 1240pregnant women who were pregnant for more than 35weeks in the obstetric examination of Tanbei Hospital in Zhongshan City,Guangdong Province from Jan⁃uary 2016to January 2018were lected as subjects.All pregnant women were tested for vaginal cleanliness and vagi⁃nal cretions GBS,after which all pregnant women gave birth in our hospital.According to the results of pre-pregnan⁃cy vaginal cretion GBS culture,the pregnant women were divided into positive group (n =100)and negative group (n =1140).The maternal vaginal cleanliness and adver pregnancy outcomes were compared between the two groups.The maternal vaginal cleanliness and pregnancy outcomes were compared between the two groups.Results The vaginal cleanliness abnormal rate of the positive group was 62.00%(62/100),which was higher than that of the negative group (34.91%[398/1140]),the difference was statistically significant (χ2=28.908,P <0.01).The incidence rates of premature rupture of membranes,premature delivery,puerperal infection,intrauterine distress and neonatal infection in the posi⁃tive group were higher than tho in the negative group,the differences were statistically significant (P <0.05).Conclu⁃sion GBS infection can lead to the decline of vaginal cleanliness in late maternal women,and may even induce adver
pregnancy outcomes.Therefore,GBS should be strengthened in the third trimester of pregnancy.[Key words]Late pregnancy;Group B Streptococcus ;Vaginal clearing degree;Adver pregnancy outcome
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