【摘要】 目的 探讨胎膜早破与孕产妇下生殖道解脲支原体(UU)感染、沙眼衣原体(CT)感染及细菌性阴道病(BV)之间的关系。方法 对120例胎膜早破产妇及同期120 例正常足月孕妇的宫颈分泌物用PCR 技术对UU 和CT进行检测及取阴道分泌物对BV进行快速检测。结果 胎膜早破组UU-DNA 阳性率38.3%,CT-DNA 阳性率31.7%,BV 阳性率15.0%；正常足月孕妇组UU-DNA 阳性率13.3%,CT-DNA 阳性率11.7%,BV 阳性率5.0%，两组比较差异均有显著性(P<0.05)。结论 孕妇下生殖道UU、CT及BV感染与胎膜早破密切相关 。

    【关键词】 胎膜早破；解脲支原体；沙眼衣原体；细菌性阴道病

    The relationships between the genital infection with ureaplasma urealyticum and chlamydia trachomatis and bacterial vaginosis patients and premature rupture of membrane

    XIE Mei-zhen.

    Chancheng District Center Hospital of Foshan City,Guangdong 528031,China

    【Abstract】 Objective To study the relationships between the genital infection with ureaplasma urealyticum (UU ) and chlamydia trachomatis(CT) and bacterial vaginosis(BV) patients and the premature rupture of membrane(PROM) .Methods In this study, polymerase chain reaction (PCR) was used to examine the UU-DNA and CT-DNA in cervical secretion and rapid measure test was used to examine the BV in vaginal secretion in 120 pregnant women with preterm premature rupture of membranes(PROM) and 120 women full normal term pregnancy.Results 38.3% patients with UU-DNA positive and 31.7% patients with CT-DNA positive and 15% patients with BV positive in PROM and 13.3% patients with UU-DNA positive and 11.7% patients with CT-DNA positive and 3% patients with BV positive in the normal term pregnancy women .The infected group had a significant higher rate of PROM, premature delivery than that of the negative group (P<0.05).Conclusion UU and CT and BV infection is responsible for PROM. ......