期待治疗与尽快引产用于GBS感染足月胎膜早破产妇的价值分析^①

霍飞霞 高湛

南阳市中心医院产科

摘要：目的：分析期待治疗与尽快引产用于B族溶血性链球菌（GBS）感染足月胎膜早破产妇的价值。方法：选取106例GBS感染足月胎膜早破产妇，按照产妇生产意愿，选择尽快引产的产妇为A组，选择期待治疗的产妇为B组，每组各53例。比较两组产妇分娩状况（顺产、剖宫产、产钳助产、破膜至分娩耗时）,比较两组产妇分娩不良结局（产褥感染、产后出血、产后感染）和新生儿不良结局（窘迫、感染、听力障碍、娩出24 h内死亡、娩出24 h内感染肺炎）。结果：两组产妇顺产、剖宫产和产钳助产比较，差异无统计学意义（P＞0.05）,A组破膜至分娩耗时短于B组（P＜0.05）;A组产妇分娩不良结局总发生率、新生儿不良结局总发生率均低于B组（P＜0.05）。结论：GBS感染足月胎膜早破产妇采用尽快引产方案，有利于改善妊娠结局。

关键词：期待治疗;B族溶血性链球菌;足月胎膜早破;妊娠结局;

Value analysis of expectant treatment and induction of labor as soon as possible in GBS infected full-term premature rupture of membranes^①

HUO Feixia^②,GAO Zhan.(Dept. of Obstetrics,Nanyang Central Hospital,Nanyang 473000,China)

Abstract Objective: To investigate the different values of expectant treatment and early induction of labor on pregnancy outcome of term premature rupture of membranes(TPROM) women with group B hemolytic streptococcus(GBS)infection. Methods: 106 puerperae with TPROM complicated with GBS infection were divided into two groups according to the maternal desire of childbirth, 53 cases who wanted to be induced as soon as possible were included in Group A, while another 53 puerperae who were expecting for treatment were selected as Group B. The maternal delivery status (spontaneous delivery rate, cesarean section rate, forceps delivery rate, time from rupture of membrane to delivery), adverse maternal delivery outcomes(incidence of puerperal infection, postpartum hemorrhage and infection), and adverse neonatal outcomes(rate of neonatal distress, infection rate and hearing impairment rate; mortality within 24 hours of delivery, pneumonia rate within 24 hours of delivery) were compared between the two groups. Results: There was no significant difference in maternal delivery status(spontaneous delivery rate, cesarean section rate and forceps delivery rate) between the two groups (P>0.05); the time from membrane rupture to delivery in Group A was shorter than that in Group B(P<0.05); the total incidence of adverse maternal outcomes and neonatal outcomes in Group A was lower than that in Group B (P<0.05). Conclusion: Induced labor should be carried out as soon as possible in full-term pregnant women with premature rupture of membranes complicated with GBS, which is conducive to improving the pregnancy outcomes.

Keywords: expectant treatment; Group B hemolytic streptococcus; term premature rupture of membranes (TPROM); pregnancy outcome

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