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目的:分析细菌性阴道炎(Bacterial vaginosis,BV)对产妇产褥感染的影响。方法:2011年2月~2014年12月,来我区医院进行产前阴道分泌物检测患者305例,诊断妊娠合并细菌性阴道炎104例并发产褥期感染8例纳入观察组,余下201例者并发产褥期感染4例纳入对照组,按照需要、产妇意愿选择是否治疗妊娠合并BV,对产褥感染采用积极的治疗策略,对比临床表现、发病与预后情况。结果:妊娠未合并BV产褥感染发生率1.99%(4/201),低于妊娠合并BV7.69%(8/96),差异具有统计学意义(X2=4.48,P=0.03<0.05);对照组与观察组发热、疼痛、腹部反跳痛、恶露、盆腔积液比重差异无统计学意义(P>0.05);观察组起病时间(10.1±4.3)d低于对照组(13.3±5.4),痊愈时间(12.4±4.3)d高于对照组(7.9±3.2)d,差异具有统计学意义(P<0.05)。结论:细菌性阴道炎可增加产褥产褥感染风险,加速产褥感染发生、增加治疗难度。
Objective: To analyze the influence of Bacterial vaginosis (BV) on puerperal infection in maternal. Methods: From February 2011 to December 2014, 305 cases of prenatal vaginal discharge were detected in our district hospital. The diagnosis of pregnancy complicated with bacterial vaginosis in 104 cases and puerperal infection in 8 cases were included in the observation group. The remaining 201 cases were complicated Four cases of puerperium infection were included in the control group. According to the need, the mothers’ choice was whether to treat the pregnancy complicated with BV. An active treatment strategy for puerperal infection was used to compare the clinical manifestation, incidence and prognosis. Results: The incidence of uncomplicated BV was 1.99% (4/201) in pregnancy, lower than that of BV7.69% (8/96) in pregnancy, the difference was statistically significant (X2 = 4.48, P = 0.03 <0.05). There was no significant difference in the proportion of fever, pain, abdominal rebound tenderness, lochia and pelvic effusion between the control group and the observation group (P> 0.05). The onset time of the observation group was lower than that of the control group (10.1 ± 4.3) ), The recovery time (12.4 ± 4.3) d was higher than that of the control group (7.9 ± 3.2) d, the difference was statistically significant (P <0.05). Conclusion: Bacterial vaginitis can increase the risk of puerperal puerperal infection, accelerate the occurrence of puerperal infection and increase the difficulty of treatment.