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目的 探讨细菌性阴道病 (bacterial vaginosis,BV)与胎膜早破及早产的关系。 方法 我们采用阴道分泌物唾液酸酶比色检测法 ,检测了 10 4例胎膜早破孕妇和 80例足月正常妊娠妇女阴道分泌物中的细菌唾液酸酶水平。 结果 10 4例胎膜早破孕妇中 38例 (36 .5 4 % ) BV呈阳性 ;80例足月正常妊娠孕妇中 9例 (11.2 5 % ) BV呈阳性 (P<0 .0 1)。胎膜早破孕妇中合并早产 4 6例 ,其中2 6例 (5 6 .5 2 % ) BV呈阳性 ,平均出生体重为 2 180 g;足月妊娠胎膜早破 5 8例 ,其中 12例 (2 0 .6 9% )BV呈阳性 (P<0 .0 1)。 结论 细菌性阴道病可使胎膜早破、早产和低体重出生儿的危险性增加。
Objective To investigate the relationship between bacterial vaginosis (BV) and premature rupture of membranes and premature labor. Methods We used the vaginal secretions sialidase colorimetric assay to detect bacterial sialidase levels in vaginal secretions of 104 preterm premature rupture and 80 normal term pregnant women. Results 38 (36.54%) BV were positive in 10 4 pregnant women with premature rupture of membranes and 9 (11.2 5%) were positive in 80 pregnant women with term normal pregnancy (P <0.01). Premature rupture of membranes in pregnant women with premature birth 46 cases, of which 26 cases (56.22%) BV was positive, the average birth weight of 2 180 g; full-term pregnancy premature rupture of membranes in 58 cases, of which 12 cases (20.96%) BV were positive (P <0.01). Conclusions Bacterial vaginosis can increase the risk of premature rupture of membranes, premature birth and low birth weight infants.