本文選題：胎膜早破 + 陰道�。� 參考：《山東醫(yī)藥》2015年26期

【摘要】：目的分析晚期妊娠胎膜早破(PROM)患者的陰道微生態(tài)狀況,探討陰道微生態(tài)變化在PROM發(fā)生中的作用。方法回顧性分析53例發(fā)生PROM的患者的產(chǎn)檢資料,選取同期住院、未出現(xiàn)PROM的健康待產(chǎn)孕婦50例作為對(duì)照組,分析兩組產(chǎn)前36周陰道分泌物檢測(cè)結(jié)果,分析陰道微生態(tài)狀況,比較兩組陰道分泌物成分、陰道病原菌類(lèi)型。結(jié)果 PROM組、對(duì)照組微生態(tài)失調(diào)的發(fā)生率分別為77.4%、16.0%,PROM組高于對(duì)照組(P0.01)。PROM組p H4.5、過(guò)氧化氫酶、白細(xì)胞酯酶、唾液酸苷酶、β-葡萄糖醛酸酶、乙酰氨基葡萄糖苷酶陽(yáng)性比例均高于對(duì)照組(P0.05),陰道支原體、衣原體感染率均高于對(duì)照組(P0.05)。結(jié)論發(fā)生PROM的晚期妊娠孕婦陰道微生態(tài)失調(diào)的發(fā)生率高,陰道分泌物成分異常,陰道支原體、衣原體感染率高,可能與PROM的發(fā)生有關(guān)。
[Abstract]:Objective to analyze the vaginal microecology of patients with advanced pregnancy premature rupture of membrane (PROM) and to explore the role of vaginal Microecology in the occurrence of PROM. Methods a retrospective analysis of the data of 53 cases of PROM was reviewed, and 50 cases of pregnant women without PROM in the same period were selected as the control group, and the vaginal secretions in the two groups were analyzed for 36 weeks. Test results, analysis of vaginal microecology, comparison of two groups of vaginal secretions and vaginal pathogens. Results PROM group, the incidence of microecological maladjustment in the control group was 77.4%, 16%, respectively, group PROM was higher than the control group (P0.01).PROM group P H4.5, catalase, leukoesterase, sialidase, beta glucuronidase, acetaminophen The positive ratio of glucosidase was higher than that of the control group (P0.05), and the infection rate of Chlamydia vaginal mycoplasma and chlamydia was higher than that of the control group (P0.05). Conclusion the incidence of vaginal microecoecoecology in the late pregnant women with PROM was high, the vaginal secretions were abnormal, the vaginal Mycoplasma and Chlamydia infection rate were high, which may be related to the occurrence of PROM.
【作者單位】： 延安市婦幼保健院;
【分類(lèi)號(hào)】：R714.433

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