生殖道支原体感染对妊娠的影响
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开封市妇产医院

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The impact of Mycoplasma genitalium infection on pregnancy
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    目的:分析女性生殖道支原体感染(GMI)对妊娠的影响。方法:研究医院200例妊娠期女性,按其是否发生GMI将其分成感染组、未感染组,其中感染组行常规抗菌治疗。分析观察对象GMI情况,对比两组分娩方式及妊娠结局。结果:200例妊娠期女性中,出现生殖道支原体感染者共78例,感染率为39.00%;感染组剖宫产率(60.26%)、阴道助产率(19.23%)高于未感染组(27.05%、9.02%),自然分娩率(20.51%)低于未感染组(63.93%),P<0.05;感染组孕妇发生早产、胎膜早破、产褥感染、胎盘粘连发生率高于未感染组,P<0.05;感染组新生儿肺炎、低体重儿、胆红素血症、呼吸窘迫综合征发生率较对照组高,P<0.05。结论:GMI在妊娠期女性中发生率较高,感染类型以解脲支原体为主,感染发生后,明显增加临床剖宫产率及围生期不良结局发生风险。

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    Objective: To analyze the impact of mycoplasma infection (GMI) of the female reproductive tract on pregnancy. Methods: A total of 200 pregnant women in a hospital were studied and divided into the infected group and the non-infected group according to whether they developed GMI. Among them, the infected group received conventional antibacterial treatment. Analyze the GMI conditions of the observed subjects and compare the delivery methods and pregnancy outcomes of the two groups. Results: Among 200 pregnant women, a total of 78 cases were infected with mycoplasma of the reproductive tract, with an infection rate of 39.00%. The cesarean section rate (60.26%) and vaginal delivery rate (19.23%) in the infection group were higher than those in the non-infection group (27.05%, 9.02%), and the natural delivery rate (20.51%) was lower than that in the non-infection group (63.93%), P < 0.05; The incidences of preterm birth, premature rupture of membranes, puerperal infection and placental adhesion in the infected pregnant women were higher than those in the non-infected group, P < 0.05. The incidences of neonatal pneumonia, low birth weight infants, bilirubinemia and respiratory distress syndrome in the infection group were higher than those in the control group, P < 0.05. Conclusion: The incidence of GMI is relatively high among pregnant women, and the main type of infection is Ureaplasma urealyticum. After the infection occurs, it significantly increases the clinical cesarean section rate and the risk of adverse perinatal outcomes.

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杨树伟.生殖道支原体感染对妊娠的影响[J].四川生理科学杂志,2025,47(11):

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  • 收稿日期:2025-07-17
  • 最后修改日期:2025-08-07
  • 录用日期:2025-08-14
  • 在线发布日期: 2025-11-18
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