椎管内分娩镇痛致阴道分娩产时发热的临床分析

发布时间：2018-02-26 19:28

本文关键词： 椎管内麻醉分娩镇痛产时发热　出处：《实用妇产科杂志》2015年09期 　论文类型：期刊论文

【摘要】：目的:探讨椎管内分娩镇痛致阴道分娩过程中产时发热的情况。方法:分析2013年7~12月在我院符合纳入研究条件的4627例阴道分娩的足月单胎头位妊娠孕妇,按是否采用椎管内分娩镇痛,分为椎管内分娩镇痛组(4018例)和无椎管内分娩镇痛组(604例)。记录并对比两组产时发热情况,检测并记录产时发热孕妇发热的时间和在产程开始前及发热时的血常规、C反应蛋白。结果:椎管内分娩镇痛组产时发热率为3.78%(152/4018),无椎管内分娩镇痛组产时发热率为0.82%(5/609)。椎管内分娩镇痛组产时的发热率明显高于无椎管内分娩镇痛组(P0.05)。椎管内分娩镇痛组孕妇产时发热的时间多数出现在椎管内穿刺后3~5小时,尤以4小时时最多,其发热时血白细胞总数为(13.89±3.04)×109/L,C-反应蛋白为(12.52±7.90)mg/L。结论:椎管内分娩镇痛是导致孕妇产时非感染性发热的重要因素,发热时多数情况是无需应用抗生素的。
[Abstract]:Objective: to investigate the fever during vaginal delivery induced by intrathecal labor analgesia. Methods: from 2013 to December, 4 627 pregnant women with full term single fetal head position who were in accordance with the conditions of vaginal delivery in our hospital from 2013 to December were analyzed. According to whether intrathecal labor analgesia was used or not, it was divided into 4 018 cases of spinal canal labor analgesia group and 604 cases of no spinal canal labor analgesia group. The fever of labor was recorded and compared between the two groups. The time of fever and the blood routine C-reactive protein before the beginning of labor and at the time of fever were detected and recorded. Results: the rate of fever during labor in the spinal canal analgesia group was 3.782 / 4018, and the fever rate in the non-spinal canal labor analgesia group was 3.78%. The fever rate in the spinal canal labor analgesia group was significantly higher than that in the no spinal canal labor analgesia group (P 0.05). Especially at 4 hours, the total number of white blood cells was 13.89 卤3.04) 脳 10 ~ 9 / L ~ (-1) C ~ (-reactive) protein was 12.52 卤7.90 mg / L 路L ~ (-1) 路L ~ (-1). Conclusion: intrathecal labor analgesia is an important factor leading to non-infective fever in pregnant women, and in most cases, antibiotics are not required in fever.
【作者单位】：南京医科大学附属南京妇幼保健院;
【基金】：国家自然科学基金-青年科学基金(编号:81200442) 南京市卫生青年人才培养工程基金(编号:QRX11209)
【分类号】：R714.4

【共引文献】