降钙素原、C反应蛋白在预测胎膜早破宫内感染中的价值
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摘要
目的探讨降钙素原、C反应蛋白在预测胎膜早破宫内感染中的价值。方法回顾分析2016年1月—2017年12月笔者所在医院妇产科收治的110例确诊胎膜早破宫内感染的孕妇作为观察组,另选同期110例正常孕妇作为参照组,均同意接受降钙素原、C反应蛋白检查。结果通过统计2组的绒毛膜羊膜炎发生率,观察组患者为5.45%(6/110),参照组患者为75.45%(83/110),组间差异显著(P <0.05);观察组的绒毛膜羊膜炎发病率显著高于参照组,组间差异显著(P <0.05)。结论降钙素原、C反应蛋白是宫内感染的重要参考指标,可作为对产妇及新生儿进行抗感染治疗的依据。
Objective: To investigate the value of procalcitonin and C-reactive protein in predicting intrauterine infection of premature rupture of membranes. Methods: A retrospective analysis of 110 pregnant women with intrauterine infection of premature rupture of membranes admitted to the Department of Obstetrics and Gynecology in the hospital from January 2016 to December 2017 was used as an observation group. Another 110 normal pregnant women were selected as reference groups in the same period. Accept procalcitonin,C-reactive protein check. Results: The incidence of chorioamnionitis in the two groups was 5. 45%( 6/110) in the observation group and 75. 45%( 83/110) in the reference group. The difference between the groups was significant( P < 0. 05). The incidence of chorioamnionitis was significantly higher than that of the reference group,and the difference between the groups was significant( P < 0. 05). Conclusion: Procalcitonin and C-reactive protein are important reference indicators for intrauterine infection and can be used as a basis for anti-infective treatment of maternal and neonatal.
Objective: To investigate the value of procalcitonin and C-reactive protein in predicting intrauterine infection of premature rupture of membranes. Methods: A retrospective analysis of 110 pregnant women with intrauterine infection of premature rupture of membranes admitted to the Department of Obstetrics and Gynecology in the hospital from January 2016 to December 2017 was used as an observation group. Another 110 normal pregnant women were selected as reference groups in the same period. Accept procalcitonin,C-reactive protein check. Results: The incidence of chorioamnionitis in the two groups was 5. 45%( 6/110) in the observation group and 75. 45%( 83/110) in the reference group. The difference between the groups was significant( P < 0. 05). The incidence of chorioamnionitis was significantly higher than that of the reference group,and the difference between the groups was significant( P < 0. 05). Conclusion: Procalcitonin and C-reactive protein are important reference indicators for intrauterine infection and can be used as a basis for anti-infective treatment of maternal and neonatal.
引文
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[6]杨海红,刘艳,刘素琴.胎膜早破新生儿血清C反应蛋白及降钙素原水平对新生儿细菌感染诊断中的临床意义[J].首都食品与医药,2016,23(10):53-54.
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[2]陈春丽.降钙素原、C反应蛋白联合检测诊断胎膜早破宫内感染的临床价值研究[J].中国现代药物应用,2018,12(13):65-67.
[3]余蓓蓓,肖冰,金琳,等. C反应蛋白和降钙素原检测在诊断早期宫内感染中的意义分析[J].中国医学前沿杂志(电子版),2014,6(11):67-70.
[4]肖春玉,王蕊,秦学桂.血清β-h CG、超敏C-反应蛋白和C-反应蛋白水平对胎膜早破孕妇宫内感染的预测价值[J].中国妇幼保健,2016,31(13):2626-2628.
[5]李惠芬,章艳,楼霞,等. hs-CRP与CRP预测胎膜早破早产儿宫内感染的价值研究[J].中华医院感染学杂志,2018,28(02):257-260.
[6]杨海红,刘艳,刘素琴.胎膜早破新生儿血清C反应蛋白及降钙素原水平对新生儿细菌感染诊断中的临床意义[J].首都食品与医药,2016,23(10):53-54.
[7]孙勇,桑晶.降钙素原及超敏C反应蛋白诊断新生儿败血症的临床价值[J].泰山医学院学报,2014,35(09):874-875.