南昌市某三甲医院围生期孕妇B族链球菌感染现状及妊娠结局分析

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Abstract Objective To analyze the infection status of Group B Streptococci (GBS) in perinatal women in a tertiary hospital in Nanchang City and its effect on pregnancy outcome.Methods From April 2018 to March 2019, a total of 1137 perinatal pregnant women who came to the hospital to perform prenatal examination and have a delivery were selected as the research object.The anus and genital tract secretions were taken for bacterial culture, according to the culture results, they were divided into the infection group and the control group, and the status of infection and its relevant factors were analyzed.In addition, the incidence of adverse pregnancy outcomes was compared between the two groups.Results A total of 67 cases of GBS were detected in the 1137 cases of perinatal pregnant women, the infection rate was 5.89%(67/1137);as for puerperal who ≥35 years old,≥3 times of abortion history,undergraduate and above,the infection rates were 9.63%,11.43%,7.01%respectively,which were higher than the infection rates of puerperal ＜35 years old, ＜3 times of abortion history, bachelor degree or below, which were 4.55%, 5.33%, 3.54%.The differences were statistically significant (P＜0.05).The incidence rates of puerperal infection, premature rupture of membranes, premature delivery in infection group were 16.42%, 10.45% and 13.43% respectively, which were higher than 7.20%, 5.40% and 6.36% of the control group.The differences were statistically significant (P＜0.05).The incidence rates of neonatal upper respiratory tract infection, pathological jaundice , neonatal low weight in infection group were 5.97%, 28.36% and 7.46% respectively, which were higher than 1.03%, 10.75%, 1.96% of the control group.The differences were statistically significant (P＜0.05).There were no significant differences in the incident rates of dystocia and neonatal asphyxia in the two groups.(P＞0.05).Conclusion The incidence of GBS among pregnant women in the perinatal period is higher in the hospital, which is related to the age, abortion history and educational background of pregnant women.GBS infection can lead to maternal puerperal infection, premature rupture of membranes and premature delivery, and increase the incidence of neonatal upper respiratory tract infection, pathological jaundice and low neonatal weight, which seriously affects maternal and infant health.

Key words： Perinatal pregnant women Group B Streptococcus Infection Status;Pregnancy outcome

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	ZHA Gu-zhang
	YUAN Li

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ZHA Gu-zhang,YUAN Li. Analysis of infection status of Group B Streptococcus and pregnancy outcomes in perinatal pregnant women in a tertiary hospital in Nanchang City[J]. 中国当代医药, 2020, 27(13): 180-182.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2020/V27/I13/180

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