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目的:探讨缸水污染与水中分娩母儿感染的相关性。方法:选取2012年10月至2015年10月在我院水中分娩并有细菌培养检验资料的151例产妇作为水中分娩组。同期采取传统分娩的151例产妇作为对照组。检测水中分娩组胎儿娩出前和娩出后缸水的细菌污染率、细菌种类、浓度等指标,比较两组新生儿的咽拭子培养、母儿血C反应蛋白值及母儿临床感染征象。结果:水中分娩缸水培养以革兰阴性菌为主,新生儿咽拭子细菌培养,产妇及新生儿血C反应蛋白值及其它母儿感染临床征象,两组比较差异无统计学意义(P>0.05)。结论:水中分娩后缸水有较高的细菌污染率,多为人体正常携带菌群,可采取水中待产方式,避免母婴感染。
Objective: To explore the relationship between water pollution and maternal and childbirth in waterfed. Methods: From October 2012 to October 2015 in our hospital water delivery and bacterial culture test data 151 cases of maternal water as the delivery group. In the same period, 151 cases of maternal mothers who took traditional delivery were taken as control group. Bacterial contamination rate, bacterial species and concentration in pre-delivery and post-delivery water of fetuses in delivery group were detected. Throat swabs, maternal and neonatal C-reactive protein levels and maternal and neonatal clinical signs were compared. Results: Gram-negative bacteria were the main components of water-borne culture, and the throat swab cultures of neonates, blood C-reactive protein values of maternal and newborn, and other clinical signs of maternal and child infection were not significant (P > 0.05). Conclusion: The water in the tank after the childbirth has a higher bacterial contamination rate, mostly for the normal carriage of bacteria in the human body, can take the water to be produced, to avoid maternal and infant infections.