不同分娩方式对产褥感染与血清白细胞计数和C-反应蛋白及降钙素原水平的影响

发布时间：2018-03-03 10:36

本文选题：分娩方式　切入点：产褥感染　出处：《中华医院感染学杂志》2017年07期 　论文类型：期刊论文

【摘要】：目的探讨不同分娩方式对产褥感染血清白细胞计数(WBC)、C-反应蛋白(CRP)、降钙素原(PCT)水平的影响,为预防产褥感染提供参考依据。方法选取2014年1月-2016年7月医院采用剖宫产(剖宫产组)及阴道分娩(阴道分娩组)的产妇各300例,观察产妇产褥感染情况,检测产妇分娩前及产后3d时WBC、CRP及PCT水平。结果剖宫产组产褥感染临床诊断26例、确诊23例,临床感染率与确诊感染率分别为8.67%、7.67%,阴道分娩组产褥感染临床诊断12例、确诊8例,临床感染率与确诊感染率分别为4.00%、2.67%,两组比较差异有统计学意义(P0.05);剖宫产组产后3d呼吸系统感染、切口感染、乳腺感染等指标均高于阴道分娩组,且两组产妇产后3d时以上指标较分娩前升高(P0.05)。结论分娩方式对产褥感染及血清WBC、CRP及PCT水平存在一定影响,剖宫产产妇产后产褥感染及相关炎性因子水平均高于阴道分娩产妇。
[Abstract]:Objective to investigate the effect of different delivery modes on the serum leukocyte count and the level of C- reactive protein (CRP) and procalcitonin (PCT) in patients with puerperal infection. Methods 300 cases of cesarean section (caesarean section group) and 300 cases of vaginal delivery (vaginal delivery group) were selected from January 2014 to July 2016 to observe puerperal infection. Results 26 cases of puerperal infection were diagnosed in cesarean section group, 23 cases were diagnosed, the clinical infection rate and confirmed infection rate were 8.67% and 7.67%, respectively. In vaginal delivery group, 12 cases of puerperal infection were clinically diagnosed and 8 cases were diagnosed. The clinical infection rate and the confirmed infection rate were 4.00 and 2.67, respectively, and the difference between the two groups was statistically significant (P 0.05), the respiratory system infection, incision infection and breast infection in the cesarean section group were higher than those in the vaginal delivery group. Conclusion the puerperal infection, serum WBC CRP and PCT levels were affected by delivery mode, and the levels of puerperal infection and related inflammatory factors in cesarean section were higher than those in vaginal delivery.
【作者单位】：遵义市第一人民医院妇产科;
【基金】：贵州省科学技术基金项目[黔科合J字(2011)2303号]
【分类号】：R714.62

【相似文献】