妊娠期生殖道支原体及衣原体感染与早产相关性分析

摘要

目的 探讨妊娠期生殖道支原体(Uu)及沙眼衣原体(Ct)感染与早产的关系.方法 采用病例对照研究方法,随机选取2014年1月至2016年6月在本院产科住院的92例早产患者为早产组,随机选取在本院同期分娩的100例正常妊娠孕妇为对照组,采用抗原检测技术及支原体培养法对两组孕妇阴道分泌物进行Uu、Ct检查,分析Uu、Ct感染对早产的影响.结果 早产组支原体感染率为58.7％,衣原体及支原体复合感染率为13.0％,衣原体感染率为19.6％,均较对照组显著升高,差异有统计学意义(均P＜0.05).早产组中胎膜早破、剖宫产率、低体质量儿率明显高于对照组,差异具有统计学意义(均P＜0.05).结论 Uu、Ct感染是部分早产的原因,Ct及Uu混合感染可以增加早产的发生,应加强对孕期妇女生殖道Uu、Ct筛查并及时治疗.%Objective To explore the correlation of preterm birth with gestational infection of mycoplasma and chlamydia in genital tract.Methods Case-control study method was adopted.92 patients with preterm birth hospitalized into our hospital from January,2014 to June,2016 were selected as a preterm group,and 100 healthy women delivered at our hospital during the same period a control group.Antigen detection technology and mycoplasma culture method were used to detect Uu and Ct in the women's genital tract secretion.The effect of Uu and Ct infection on preterm birth was analyzed.Results The mycoplasma infection rate was 58.7％,chlamydia and mycoplasma compound infection rate was 13.0％,and chlamydia infection rate was 19.6％ in the preterm group,which were higher than those in the control group,with statistical differences (all P ＜ 0.05).The incidences of premature rupture of membranes,cesarean section,and low birth weight were higher in the preterm group than in the control group,with statistical differences (all P ＜ 0.05).Conclusion Uu and Ct infection is the cause of some premature births.Ct and Uu compound infection can increase the incidence of preterm birth.Therefore,screening of Uu and Ct in genital tract of pregnant women should be strengthened,and timely treatment should be taken.