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目的研究孕妇行沙眼衣原体感染筛查和干预对母婴结局影响。方法对孕中晚期妇女进行沙眼衣原体筛查,并根据是否有沙眼衣原体感染及是否接受治疗分为3组。阳性未治疗者为A组,阳性并接受治疗者为B组,阴性者为C组。观察三组胎膜早破、早产、产褥病率、绒毛膜羊膜炎及新生儿感染比率。结果衣原体感染并接受治疗组其胎膜早破、早产、产褥感染、绒毛膜羊膜炎及新生儿感染率较阳性未接受治疗组低,且差异均有统计学意义。结论孕期衣原体筛查和干预可降低母婴并发症,具有重要的临床意义。
Objective To study the influence of screening and intervention of Chlamydia trachomatis in pregnant women on maternal and infant outcomes. Methods The screening of Chlamydia trachomatis in the second trimester of pregnancy was divided into 3 groups according to the presence or absence of Chlamydia trachomatis infection and treatment. Positive untreated group A, positive and treated by the B group, negative for the C group. Three groups of premature rupture of membranes, premature labor, puerperal morbidity, chorioamnionitis and neonatal infection rate were observed. Results Chlamydial infection and treatment group were premature rupture of membranes, premature delivery, puerperal infection, chorioamnionitis and neonatal infection rate was lower than the positive untreated group, and the differences were statistically significant. Conclusion Chlamydia screening and intervention during pregnancy can reduce maternal and child complications, has important clinical significance.