摘要
目的探讨改良式低位产钳术对产妇产后感染和新生儿免疫功能的影响,以优化产科管理。方法选取2014年8月-2015年6月于医院产科分娩的初产妇127例,其中70例行改良式低位产钳术设为试验组,57例行传统会阴侧切低位产钳术助产设为对照组,比较两组产妇产后感染情况,同时采用免疫比浊法检测两组新生儿脐带血免疫球蛋白IgA、IgG、IgM和补体C3、C4。结果试验组产妇产后出血、宫颈裂伤、会阴疼痛、住院时间均明显优于对照组,差异有统计学意义(P<0.05),而两组新生儿Apgar评分比较差异无统计学意义;产妇产后感染率试验组为27.14%,明显低于对照组的47.36%,差异有统计学意义(P<0.05);试验组新生儿脐带血IgA、IgM含量明显低于对照组,差异有统计学意义(P<0.05),两组新生儿IgG和补体C3、C4含量比较差异无统计学意义。结论采用改良式低位产钳术产妇产后感染率低,对新生儿免疫功能影响较轻微,值得临床推广。
OBJECTIVE To discuss the effect of modified low forceps delivery on postpartum infection and neonatal immune function,so as to optimize obstetrical management.METHODS A total of 127 cases of primipara from Aug.2014 to Jun.2015 were selected,including 70 cases of primipara accepted modified low forceps delivery selected as experimental group,and 57 cases of primipara accepted traditional episiotomy of low forceps midwifery were selected as control group.The postpartum infections between the two groups were compared,and the IgA,IgG,IgM,C3 and C4in cord blood between the two groups of neonate were detected by immunoturbidimetry.RESULTS The postpartum hemorrhage,cervical laceration,perineal pain,and hospital stay of experimental group were significantly better than those of control group（P〈0.05）,and there was no significant difference between the two groups on the neonatal Apgar score.The rate of postpartum infection of experimental group（27.14%）was significantly lower than that of control group（47.36%,P〈0.05）.Compared with the control group,levels of IgA and IgM of experimental group were significantly lower（P〈0.05）,and the levels of IgG,C3,and C4 had no significant difference between the two groups.CONCLUSION Modified low forceps delivery has low postpartum infection and less influence on immune function of newborn,which is worthy of promotion.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2016年第11期2574-2576,共3页
Chinese Journal of Nosocomiology
基金
国家自然科学基金资助项目(81300528)
关键词
改良式低位产钳术
产后感染
新生儿
免疫功能
Modified low forceps delivery
Postpartum infection
Neonate
Immune function
