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妊娠毒血症中的阴道真菌(作者译)

[Vaginal fungi in toxemia of pregnancy (author's transl)].

作者信息

Higashide K, Goto T, Asai Y, Narita O, Nakanishi T, Tomoda Y, Kondou Y, Kanbe T, Ata S

出版信息

Nihon Sanka Fujinka Gakkai Zasshi. 1980 Jan;32(1):46-52.

PMID:7017029
Abstract

In order to prevent the transfer of the fungi in maternal vagina into a neonate through transvaginal delivery, we examined the presence of vaginal fungi in the patients with toxemia of pregnancy occurring chiefly from the later stages of pregnancy and made an analysis from the quantitative aspect of fungi (number of colonies produced on Mizuno-Takada medium). The results obtained are as follows: 1) The detection rate of vaginal fungi was evidently so high as 37.1% in toxemia group compared with 27.6% in non-toxemia group (p less than 0.01). And the detection rate of vaginal Candida albicans (hereinafter: C. albicans) also proved to be higher tendency in toxemia group. 2) When the toxemia patients were divided into mild cases and severe ones for comparison, the detection rate of vaginal fungi and that of vaginal C. albicans were both higher in the severe case group. Particularly in the group which had the symptoms of toxemia at the examination time of vaginal fungi there was seen the higher rate. 3) From the quantitative aspect of vaginal fungi it is evident that there were more cases with over 51 colonies in the group showing the symptoms of toxemia at the time of fungi examination than in the group showing no such symptoms at the examination and the group of non-toxemia (p less than 0.01).

摘要

为防止产妇阴道内的真菌在经阴道分娩时传染给新生儿,我们对主要在妊娠后期出现的妊娠中毒症患者的阴道真菌情况进行了检查,并从真菌定量方面(水野 - 高田培养基上产生的菌落数)进行了分析。结果如下:1)妊娠中毒症组的阴道真菌检出率明显高达37.1%,而非妊娠中毒症组为27.6%(p<0.01)。而且妊娠中毒症组的阴道白色念珠菌(以下简称:白色念珠菌)检出率也有较高趋势。2)将妊娠中毒症患者分为轻症和重症进行比较时,重症组的阴道真菌和阴道白色念珠菌检出率均较高。特别是在检查阴道真菌时有妊娠中毒症症状的组中检出率更高。3)从阴道真菌定量方面来看,在检查真菌时有妊娠中毒症症状的组中,菌落数超过51个的病例明显多于检查时无此症状的组和非妊娠中毒症组(p<0.01)。

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