首页|妊娠期上呼吸道病毒感染对妊娠结局的影响及不同时期上呼吸道病毒感染对孕产妇及胎儿的影响

妊娠期上呼吸道病毒感染对妊娠结局的影响及不同时期上呼吸道病毒感染对孕产妇及胎儿的影响

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目的 探讨妊娠期上呼吸道病毒感染对妊娠结局的影响,以及妊娠不同时期上呼吸道病毒感染对孕产妇及胎儿的影响.方法 纳入183名孕产妇,分为上呼吸道病毒感染组99人,非上呼吸道病毒感染组84人,比较2组的基本资料及不良妊娠结局,进行统计学分析;将上呼吸道病毒感染组孕妇根据感染孕周分为孕早、中、晚期3组,比较不同时期上呼吸道病毒感染对孕产妇及胎儿的影响.结果 上呼吸道病毒感染组孕期妊娠合并症的发病率为43.4%,高于非上呼吸道病毒感染组的21.4%(P<0.05);上呼吸道病毒感染组早产率为14.1%,显著高于非上呼吸道病毒感染组的4.8%(P<0.05);上呼吸道病毒感染组胎儿宫内窘迫、胎儿发育迟缓的发生率高于非上呼吸道病毒感染组(P<0.05);孕晚期感染上呼吸道病毒的剖宫产率高于其他时期感染的孕产妇.结论 妊娠期上呼吸道病毒感染与不良妊娠结局具有相关性;不同孕周(孕早、中、晚期)的上呼吸道病毒感染,对剖宫产率的影响有显著差异.
The effects of upper respiratory tract virus infection on pregnancy outcomes during pregnancy and the effects of upper respiratory tract virus infection on maternal and fetal health at different stages
Objective To investigate the effects of upper respiratory tract virus infection during pregnancy on pregnancy out-comes,and the effects of upper respiratory tract virus infection on pregnant women and fetuses at different stages of pregnancy.Methods A total of 183 pregnant women were included,including 99 in the upper respiratory tract virus infection group and 84 in the non-upper re-spiratory tract virus infection group.The basic data and adverse pregnancy outcomes of the two groups were compared and analyzed.Accord-ing to the gestational age of infection,the upper respiratory tract virus infection group was divided into three groups:early pregnancy,middle pregnancy and late pregnancy.The influence of upper respiratory tract virus infection on pregnant women and fetuses at different stages were compared.Results The incidence rate of pregnancy complications in the upper respiratory tract virus infection group(43.4%)was higher than that in the non-upper respiratory tract virus infection group(21.4%,P<0.05).The premature birth rate of the upper respiratory vi-rus infection group(14.1%)was significantly higher than that of the non-upper respiratory virus infection group(4.8%,P<0.05).The incidence rate of fetal distress and fetal growth retardation in upper respiratory tract virus infection group was higher than that in non-up-per respiratory tract virus infection group(P<0.05).The cesarean section rate of pregnant women infected with upper respiratory tract vi-rus in the third trimester was higher than that of pregnant women infected at other stages.Conclusion Upper respiratory tract virus infec-tion during pregnancy is correlated with adverse pregnancy outcomes.The effects of upper respiratory tract virus infection in different stages of pregnancy(early,middle and late)on cesarean section rate were significantly different.

Upper respiratory tract virus infectionPregnancy complicationsPregnancy outcomeDifferent periods

祁馨仪、李博巍、李贝、陈修鑫、张瑞琪、杨玉娥、哈春芳

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宁夏医科大学,宁夏银川 750004

宁夏医科大学总医院妇科,宁夏银川 750004

上呼吸道病毒感染 妊娠合并症 妊娠结局 不同孕周

中央引导地方基金项目

2022YDDF0163

2024

宁夏医学杂志
中华医学会宁夏分会

宁夏医学杂志

影响因子:0.706
ISSN:1001-5949
年,卷(期):2024.46(2)
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