中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
7期
137-139
,共3页
C-反应蛋白%分娩%剖宫产%产后
C-反應蛋白%分娩%剖宮產%產後
C-반응단백%분면%부궁산%산후
C-reactive protein%Childbirth%Cesarean section%Postpartum
目的：讨论比较不同分娩方式分娩后血清C-反应蛋白（C-reactive protein，CPR）的浓度指标变化规律，分析对血清CRP水平影响的相关因素。方法：回顾性选取2012年10月-2013年8月本院妇产科分娩的产妇250例，其中经阴道分娩115例，剖宫产135例，测量产妇术中出血、手术时间、产后48 h体温及血常规等，同时测量产妇分娩前24 h、分娩时、分娩后24、48、72、96 h的CRP浓度，然后结合其临床资料进行分析。结果：剖宫产组术中出血量明显多于经阴道分娩组（P<0.01），产后感染率高于阴道分娩组（P<0.05）；剖宫产组术后48 h中性粒细胞及体温明显高于经阴道分娩组（P<0.01）；两组分娩后CRP浓度逐渐升高，较分娩前水平有显著增高（P<0.01）；CRP在经阴道分娩后72 h开始降低，而在剖宫产分娩后96 h开始降低，剖宫产组分娩后不同时期CRP浓度均高于经阴道分娩组（P<0.01）。结论：分娩方式是产后血清CRP变化的重要影响因素，产后测量CRP对科学的选择分娩方式及临床治疗有重要参考意义。
目的：討論比較不同分娩方式分娩後血清C-反應蛋白（C-reactive protein，CPR）的濃度指標變化規律，分析對血清CRP水平影響的相關因素。方法：迴顧性選取2012年10月-2013年8月本院婦產科分娩的產婦250例，其中經陰道分娩115例，剖宮產135例，測量產婦術中齣血、手術時間、產後48 h體溫及血常規等，同時測量產婦分娩前24 h、分娩時、分娩後24、48、72、96 h的CRP濃度，然後結閤其臨床資料進行分析。結果：剖宮產組術中齣血量明顯多于經陰道分娩組（P<0.01），產後感染率高于陰道分娩組（P<0.05）；剖宮產組術後48 h中性粒細胞及體溫明顯高于經陰道分娩組（P<0.01）；兩組分娩後CRP濃度逐漸升高，較分娩前水平有顯著增高（P<0.01）；CRP在經陰道分娩後72 h開始降低，而在剖宮產分娩後96 h開始降低，剖宮產組分娩後不同時期CRP濃度均高于經陰道分娩組（P<0.01）。結論：分娩方式是產後血清CRP變化的重要影響因素，產後測量CRP對科學的選擇分娩方式及臨床治療有重要參攷意義。
목적：토론비교불동분면방식분면후혈청C-반응단백（C-reactive protein，CPR）적농도지표변화규률，분석대혈청CRP수평영향적상관인소。방법：회고성선취2012년10월-2013년8월본원부산과분면적산부250례，기중경음도분면115례，부궁산135례，측양산부술중출혈、수술시간、산후48 h체온급혈상규등，동시측양산부분면전24 h、분면시、분면후24、48、72、96 h적CRP농도，연후결합기림상자료진행분석。결과：부궁산조술중출혈량명현다우경음도분면조（P<0.01），산후감염솔고우음도분면조（P<0.05）；부궁산조술후48 h중성립세포급체온명현고우경음도분면조（P<0.01）；량조분면후CRP농도축점승고，교분면전수평유현저증고（P<0.01）；CRP재경음도분면후72 h개시강저，이재부궁산분면후96 h개시강저，부궁산조분면후불동시기CRP농도균고우경음도분면조（P<0.01）。결론：분면방식시산후혈청CRP변화적중요영향인소，산후측량CRP대과학적선택분면방식급림상치료유중요삼고의의。
Objective:To discuss and compare the changing rule of post-delivery serum C-reactive protein(CRP) and analyze the effect of different delivery types on CRP concentration. Method:A retrospective review of 250 maternity patients who delivered in our hospital from October 2012 to August 2013 were conducted,115 of them underwent vaginal delivery whereas 135 cases received cesarean section. The volume of intraoperative bleeding,time of operation,body temperature and blood routine tests of 48 hours after surgery were recorded meanwhile CRP concentration of preoperative 24 hours,intraoperative time,postoperative 24 hours,48 hours,72 hours and 96 hours were also collected,then these clinical data were analyzed combined with clinical history. Result:The volume of intraoperative bleeding in the cesarean section group was obviously more than that in the vaginal delivery group(P<0.01),the rate of infection after delivery was higher than that in the vaginal delivery group(P<0.05). Besides the neutrophil count and body temperature of 48 hours after surgery in the cesarean section group were higher than that in the vaginal delivery group(P<0.01),CRP concentration of the two groups gradually increased after childbirth,the both were much higher than the preoperative value(P<0.01),CPR concentration of the vaginal delivery group gradually decreased after postpartum 72 hours whereas CPR concentration of the cesarean section group gradually declined after postpartum 96 hours,and CRP concentration of the cesarean section group was higher than that in the vaginal delivery group in deferent period after delivery(P<0.01). Conclusion:Delivery type is the important factor that influences postpartum serum CRP concentration,measurement of postpartum serum CRP concentration has great significance in the choice of delivery type and clinical treatment.
