中国实用妇科与产科杂志

中国实用妇科与产科杂志 ›› 2021, Vol. 37 ›› Issue (10): 999-1001.DOI: 10.19538/j.fk2021100104

• 专题笔谈 • 上一篇    下一篇

妊娠期细菌性阴道病的筛查与诊治

  

  1. 北京大学深圳医院妇产科 深圳北京大学香港科技大学医学中心妇产科学研究所 深圳市女性重大疾病早期诊断技术重点实验室，广东 深圳 518036
  • 出版日期:2021-10-02
  • 通讯作者: 樊尚荣
  • 基金资助:
    国家自然科学基金（82171676）；广东省科技计划（2014A020212037）

Screening，diagnosis and treatment of bacterial vaginosis in pregnancy.

  1. Department of Obstetrics and Gynecology，Peking University Shenzhen Hospital，Institute of Obstetrics and Gynaecology，Shenzhen PKU-HKUST Medical Center，Shenzhen Key Laboratory on Technology for Early Diagnosis of Major Gynecologic Diseases，Shenzhen 518036，China 
  • Online:2021-10-02

摘要： 妊娠期细菌性阴道病（bacterial vaginosis，BV）可引起胎膜早破、早产、流产、绒毛膜羊膜炎、新生儿感染及产褥感染等不良妊娠结局。妊娠期BV的诊断主要依据Amsel临床诊断标准及革兰染色Nugent评分标准。需要对既往有感染相关流产、早产病史或有早产危险因素孕妇进行BV筛查，阳性者需进行治疗。妊娠期BV的治疗方案为口服克林霉素或甲硝唑。

关键词: 妊娠, 细菌性阴道病, 筛查, 诊断, 治疗

Abstract: Bacterial vaginosis（BV）during pregnancy can cause adverse pregnancy outcomes including  premature rupture of membranes，premature birth，abortion，chorioamnionitis，neonatal infection and puerperal infections. The diagnosis of BV during pregnancy is mainly based on Amsel clinical diagnostic criteria and gram-stained Nugent score criteria.Pregnant women with a history of infection-related miscarriage，preterm delivery，or risk factors for preterm delivery should be screened for bacterial vaginosis. Those who are screened positive should be treated with oral clindamycin regimen or oral metronidazole regimen.

Key words: pregnancy, bacterial vaginosis, screening, diagnosis, treatment

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