对B族链球菌带菌者早期干预与晚期流产、早产探讨

摘要

目的：研究和观察对B族链球菌带菌患者进行早期干预的效果。方法：收集孕期20～35周的孕妇200例，将检测出B族溶血性链球菌带菌患者43例分为两组，对照组20例不进行早期干预；观察组23例使用青霉素进行早期干预，对青霉素过敏者用头孢唑啉治疗，将两组产妇的晚期流产率进行统计和对比。结果：观察组晚期流产0，早产1例；对照组晚期流产4例，早产5例，(P＜0.05)差异具有统计学意义。结论：在B族链球菌带菌孕妇的孕中晚期，对阴道及肛门分泌物进行检测并及时使用静脉用药，能够有效降低婴儿早产率和晚期流产率。%Objective:To study the effect of group B streptococcus carriers of early intervention.Methods:200 pregnant women with pregnancy 20~35 weeks were selected.The detected B streptococcus carrier of 43 patients divided into two groups.The control group of 20 cases with no early intervention;the observation group of 23 cases with the use of penicillin for early intervention,penicillin allergy with the treatment of cefazolin.The late abortion of two groups were counted and compared.Results:The observation group of patients with late abortion in 0 cases,1 cases of premature delivery;patients in the control group of 4 cases with late abortion,premature delivery in 5 cases.The difference was statistically significant(P<0.05).Conclusion:In B streptococcus colonization in pregnant women in late pregnancy,vaginal and anal secretions to detect and timely use of intravenous medication can effectively reduce the rate of premature babies and late abortion rate.