携带B族链球菌的妊娠晚期孕妇妊娠结局分析

Analysis on pregnancy outcomes of pregnant women carrying group B Streptococcus in the late pregnancy

  • 摘要: 目的 观察携带B族链球菌妊娠晚期孕妇对妊娠结局的影响,并分析细菌培养及聚合酶链式反应(PCR)法检测结果。 方法 选取210例携带B族链球菌的妊娠晚期孕妇为研究对象,并采集肛周以及阴道下三分之一处的分泌物进行细菌培养及PCR法检测。分析检测结果以及孕妇妊娠结局。 结果 与肛周样本检测结果比较,阴道样本检测的阳性率显著较高(P<0.05); PCR与细菌培养的阳性检测率比较,差异无统计学意义(P>0.05); 与其他孕周比较, >34~37周孕妇的B族链球菌的阳性检出率显著较高(P<0.05); B族链球菌阳性患者的羊膜炎、宫内感染、胎儿窘迫发生率显著高于B族链球菌阴性患者(P<0.05)。 结论 PCR检测法在妊娠晚期孕妇B族链球菌中的疾病检出率较高,且携带B族链球菌的孕妇会对母婴结局产生较大的影响。

     

    Abstract: Objective To observe effect of carrying group B Streptococcus on pregnant outcomes in late pregnancy of pregnant women, and to analyze the results of bacterial culture and polymerase chain reaction(PCR)detection. Methods A total of 210 pregnant women carrying group B Streptococcus were selected, and all pregnant women's perianal secretions and secretions one third of the lower vagina were collected, and were given bacterial culture and PCR detection. The test results and the pregnancy outcomes of pregnant women were analyzed. Results Compared with the rectal sample detection result, the positive rates of vaginal samples were higher(P<0.05); there was no difference in the positive detection rate of PCR and bacterial culture detection(P>0.05). Compared with the other gestational weeks, the pregnancy with gestational weeks >34~37 had higher positive rate of group B Streptococcus(P<0.05); the incidence rates of amnionitis, intrauterine infection, and fetal distress were significantly higher than those with group B negative Streptococcus(P<0.05). Conclusion PCR detection method has a higher detection rate of group B Streptococcus in late pregnant women, and pregnant women carrying group B Streptococcus have a greater impact on maternal and infant outcomes.

     

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