本文選題：妊娠期高血壓孕婦 + 宮頸感染　； 參考：《中華醫(yī)院感染學(xué)雜志》2017年12期

【摘要】：目的探討不同程度宮頸感染對(duì)妊娠期高血壓孕婦的妊娠結(jié)局與術(shù)后感染的影響。方法收集2015年1月-2016年8月收治的伴宮頸感染80例妊娠期高血壓孕婦為觀察組,根據(jù)感染程度將其中40例輕中度孕婦為觀察A組,40例重度孕婦為觀察B組;同時(shí)取本科室同期接收40例單純?nèi)焉锲诟哐獕涸袐D為對(duì)照組,40例健康正常妊娠孕婦作為健康組,觀察并比較4組孕婦的妊娠結(jié)局與術(shù)后感染情況。結(jié)果觀察B組孕婦胎兒宮內(nèi)窘迫率、新生兒窒息率及圍產(chǎn)兒病死率均為22.5%,均顯著高于觀察A組及對(duì)照組相應(yīng)指標(biāo),差異有統(tǒng)計(jì)學(xué)意義(P0.05);觀察組孕婦胎兒宮內(nèi)窘迫率、新生兒窒息率及圍產(chǎn)兒病死率均顯著高于對(duì)照組及健康組相應(yīng)指標(biāo),差異有統(tǒng)計(jì)學(xué)意義(P0.05);對(duì)照組孕婦剖宮產(chǎn)率50.0%,顯著高于健康組20.0%,差異有統(tǒng)計(jì)學(xué)意義(P0.05);兩組胎兒宮內(nèi)窘迫率、新生兒窒息率及圍產(chǎn)兒病死率比較,無顯著差異,觀察組、對(duì)照組、健康組術(shù)后感染率依次為25.0%、12.5%、0,觀察組術(shù)后感染率較對(duì)照組與健康組顯著更高,差異有統(tǒng)計(jì)學(xué)意義(P0.05);觀察B組產(chǎn)婦并發(fā)癥發(fā)生率15.0%,顯著高于對(duì)照組2.5%,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論妊娠期高血壓孕婦伴有宮頸感染程度與其不良妊娠結(jié)局發(fā)生風(fēng)險(xiǎn)有著密切的聯(lián)系,且伴宮頸感染的產(chǎn)婦術(shù)后感染率更高。
[Abstract]:Objective to investigate the effect of cervical infection on pregnancy outcome and postoperative infection in hypertensive pregnant women. Methods from January 2015 to August 2016, 80 pregnant women with cervical infection were selected as observation group. 40 cases of mild to moderate pregnant women were selected as observation group A and 40 cases of severe pregnant women as observation group B according to the degree of infection. At the same time, 40 pregnant women with hypertension complicating pregnancy were selected as the control group and 40 normal pregnant women as the healthy group. The pregnancy outcome and postoperative infection were observed and compared among the 4 groups. Results the fetal distress rate, neonatal asphyxia rate and perinatal mortality in group B were 22.5, which were significantly higher than those in group A and control group (P 0.05). The neonatal asphyxia rate and perinatal mortality were significantly higher than those of the control group and the healthy group, the difference was statistically significant (P 0.05), the cesarean section rate of the control group was significantly higher than that of the healthy group (20.0%, P 0.05), the fetal distress rate of the two groups was significantly higher than that of the control group (P 0.05), the rate of cesarean section in the control group was significantly higher than that in the healthy group (P 0.05). There was no significant difference in neonatal asphyxia rate and perinatal mortality. The postoperative infection rate in observation group, control group and healthy group was 25.0 and 12.5% respectively. The postoperative infection rate in observation group was significantly higher than that in control group and healthy group. The incidence of maternal complications in group B was 15.0, which was significantly higher than that in the control group (2.5%), and the difference was statistically significant (P 0.05). Conclusion the degree of cervical infection in hypertensive pregnant women with pregnancy is closely related to the risk of adverse pregnancy outcome, and the infection rate of pregnant women with cervical infection is higher.
【作者單位】： 鄭州大學(xué)附屬南陽醫(yī)院南陽市中心醫(yī)院婦產(chǎn)科;
【分類號(hào)】：R714.2

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