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目的分析妊娠合并肺结核孕妇的诊治时机和胎儿出生质量的关联性。方法选取我院2012年5月至2015年5月收治的120例妊娠期肺结核妇女患者作为研究对象,按其诊治时间分成产前诊治组和产后诊治组,每组60例。分别比较两组婴儿的生存质量,并与同期顺产的60例无结核病的正常孕妇(对照组)进行比对分析。结果产后诊治组的婴儿患病率和死亡率分别为70.0%和8.3%,相比产前诊治组的13.3%和0%显著增加,且组间差异具有统计学意义(P<0.05);产前诊治组婴儿的患病率和死亡率与对照组比较,无显著性差异(P>0.05)。结论患有肺结核的产妇妊娠期诊治时机是治疗疾病和改善胎儿生产质量的关键,产前诊治可极大的降低婴儿出生后的患病率和死亡率,提高婴儿的生存质量,值得在临床上推广使用。
Objective To analyze the correlation between the timing of diagnosis and treatment and the quality of fetal birth in pregnant women with tuberculosis complicated by tuberculosis. Methods A total of 120 pregnant women with tuberculosis admitted to our hospital from May 2012 to May 2015 were selected as study subjects and divided into prenatal diagnosis and treatment group and postpartum diagnosis and treatment group according to their diagnosis and treatment time. Each group included 60 cases. The quality of life of the two groups of infants was compared, respectively, and compared with 60 normal pregnant women without tuberculosis (control group) in the same period. Results The prevalence and mortality of infants in the postpartum diagnosis and treatment group were 70.0% and 8.3%, respectively, which were significantly higher than those in the prenatal diagnosis and treatment group (13.3% and 0%, respectively) (P <0.05) Pre-diagnosis and treatment of infants in the prevalence and mortality compared with the control group, no significant difference (P> 0.05). Conclusions The timing of diagnosis and treatment of pregnant women with tuberculosis is the key to the treatment of disease and improvement of fetal production quality. Prenatal diagnosis and treatment can greatly reduce the postnatal morbidity and mortality and improve the quality of life of infants, which is worth clinical Promote use.