抗菌药物治疗细菌性阴道炎预防早产的临床分析

被引:2
作者
沈正泽 [1 ]
金梅 [1 ]
秧茂盛 [2 ,3 ]
机构
[1] 重庆医科大学附属永川医院
[2] 重庆医科大学药学院
[3] 吉首大学医学院
关键词
早产; 抗菌药物; 细菌性阴道炎; 随机对照试验; Meta分析;
D O I
10.13375/j.cnki.wcjps.2015.01.044
中图分类号
R711.31 [阴道炎];
学科分类号
摘要
通过检索Pub Med、Cochrane Controlled Trial Register、OVID、万方、中国生物医学文献数据库和CNKI数据库,收集抗菌药物治疗细菌性阴道炎(BV)预防早产的临床随机对照试验的13篇文献,筛选、评价文献并提取数据进行Meta分析。抗菌药物治疗BV并不能降低早产发生率(OR=0.89,95%CI=[0.68,1.17],P=0.40);22孕周前使用抗菌药物治疗BV有助于降低早产发生率(OR=0.76,CI=[0.59,0.98],P=0.03)。在有充足的证据之前,不推荐使用抗菌药物治疗BV预防早产;22孕周前使用抗菌药物治疗BV有助于降低早产率,但该结论还有待研究来证实。
引用
收藏
页码:126 / 128
页数:3
相关论文
共 9 条
  • [1] National, regional, and worldwide estimates of preterm birth rates in the year 2010 with time trends since 1990 for selected countries: a systematic analysis and implications[J] . Hannah Blencowe,Simon Cousens,Mikkel Z Oestergaard,Doris Chou,Ann-Beth Moller,Rajesh Narwal,Alma Adler,Claudia Vera Garcia,Sarah Rohde,Lale Say,Joy E Lawn.The Lancet . 2012 (9832)
  • [2] Influence of early self-diagnosis and treatment of bacterial vaginosis on preterm birth rate
    Sungkar, Ali
    Purwosunu, Yuditiya
    Aziz, Muhamad F.
    Pratomo, Hadi
    Sutrisna, Bambang
    Sekizawa, Akihiko
    [J]. INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS, 2012, 117 (03) : 264 - 267
  • [3] An overview of mortality and sequelae of preterm birth from infancy to adulthood[J] . Saroj Saigal,Lex W Doyle.The Lancet . 2008 (9608)
  • [4] Effect of early oral clindamycin on late miscarriage and preterm delivery in asymptomatic women with abnormal vaginal flora and bacterial vaginosis: a randomised controlled trial[J] . Austin Ugwumadu,Isaac Manyonda,Fiona Reid,Phillip Hay.The Lancet . 2003 (9362)
  • [5] Intravaginal clindamycin to reduce preterm birth in women with abnormal genital tract flora
    Lamont, RF
    Duncan, SLB
    Mandal, D
    Bassett, P
    [J]. OBSTETRICS AND GYNECOLOGY, 2003, 101 (03) : 516 - 522
  • [6] Treatment of asymptomatic bacterial vaginosis to prevent pre-term delivery: a randomised trial[J] . Secondo Guaschino,Elena Ricci,Massimo Franchi,Giovanni Del Frate,Cecilia Tibaldi,Daniele De Santo,Fabio Ghezzi,Chiara Benedetto,Francesco De Seta,Fabio Parazzini.European Journal of Obstetrics and Gynecology . 2003 (2)
  • [7] Vaginal clindamycin in preventing preterm birth and peripartal infections in asymptomatic women with bacterial vaginosis: a randomized, controlled trial[J] . M Kekki,T Kurki,J Pelkonen,M Kurkinen-Raty,B Cacciatore,J Paavonen.Obstetrics & Gynecology . 2001 (5)
  • [8] Intravaginal clindamycin treatment for bacterial vaginosis: Effects on preterm delivery and low birth weight[J] . M.R. Joesoef,S.L. Hillier,G. Wiknjosastro,H. Sumapouw,M. Linnan,W. Norojono,A. Idajadi,B. Utomo.American Journal of Obstetrics and Gynecology . 1995 (5)
  • [9] Bacterial vaginosis is associated with prematurity and vaginal fluid mucinase and sialidase:results of a controlled trial of topical clindamycin cream .2 McGregor JA,French JI,Jones W,et al. Am J Obstet Gynecol . 1994