女性生殖道解脲支原体感染与胎膜早破与新生儿窒息的相关性

摘要 目的：探讨女性生殖道解脲支原体(Ureaplasma urealyticum，UU)感染与胎膜早破与新生儿窒息的相关性。方法：2017年6月至2019年6月选择在地区门诊就诊的孕妇108例，检测生殖道解脲支原体感染情况，调查所有孕妇的一般资料、分娩方式、胎膜早破、新生儿窒息状况并进行相关性分析。结果：在108例孕妇中，48例检出解脲支原体感染，感染率为44.4 %。感染组的年龄、体重指数、产次、孕次、受教育年限、孕周等与非感染组对比差异无统计学意义(P>0.05)。感染组的胎膜早破与新生儿窒息发生率分别为22.9 %和18.8 %，显著高于非感染组的3.3 %和1.7 %(P<0.05)。感染组的剖宫产率高于非感染组，自然分娩率低于非感染组，对比差异都有统计学意义(P<0.05)。在108例孕妇中，Pearson分析显示解脲支原体感染与胎膜早破、新生儿窒息都存在相关性(P<0.05)。结论：女性生殖道解脲支原体感染比较常见，可导致剖宫产、胎膜早破、新生儿窒息发生率增加，也与胎膜早破、新生儿窒息存在显著相关性。

Correlation between Female Genital Tract Ureaplasma Urealyticum Infection and Premature Rupture of Membranes and Neonatal Asphyxia

ABSTRACT Objective: To explore the correlation between female genital tract Ureaplasma urealyticum (Ureaplasma urealyticum, UU) infection and premature rupture of membranes and neonatal asphyxia. Methods: From June 2017 to June 2019, 108 cases of pregnant women who were selected as outpatients in the region were selected, all the cases were to detect the genital tract Ureaplasma urealyticum infection. The general information, delivery methods, premature rupture of membranes, and neonatal asphyxia were investigated for all pregnant women and were given correlation analysis. Results: There were 48 cases were detected Ureaplasma urealyticum infection in the 108 cases that the infection rates were 44.4 %. There were no significant difference in age, body mass index, parity, pregnancy time, years of education, and gestational age compared between the infected group and the non-infected group (P>0.05). The incidences of premature rupture of membranes and neonatal asphyxia in the infected group were 22.9 % and 18.8 %, respectively, which were significantly higher than that in the non-infected group of 3.3 % and 1.7 %(P<0.05). The cesarean section rates in the infected group were higher than that in the non-infected group, and the natural delivery rate were lower than that in the non-infected group that compared the differences were statistically significant(P<0.05). In the 108 pregnant women, Pearson analysis showed that Ureaplasma urealyticum infection were associated with premature rupture of membranes and neonatal asphyxia(P<0.05). Conclusion: Ureaplasma urealyticum infection in female genital tract is relatively common, which can lead to an increase in the incidence of cesarean section, premature rupture of membranes, and neonatal asphyxia. It is also significantly associated with premature rupture of membranes and neonatal asphyxia.