产时发热170例病例分析  

Analysis of 170 intrapartum fever cases

作　　者：李银姬[1] 孙姝[1] 

机构地区：[1]大连市妇产医院暨妇幼保健院妇产科,116000

出　　处：《中国现代药物应用》2016年第4期271-272,共2页Chinese Journal of Modern Drug Application

摘　　要：目的探讨产时发热产妇妊娠结局及新生儿预后的影响。方法 170例分娩中发热产妇作为产时发热组,同期分娩产妇中随机抽取分娩中无发热史的产妇170例做为对照组。比较两组产妇剖宫产率、阴道助产率、水粪染发生率及新生儿情况。结果产时发热组宫产率、阴道助产率、羊水粪染发生率高于对照组(P<0.05)。两组新生儿窒息、新生儿低血气、新生儿肺炎及败血症发生率比较差异无统计学意义(P>0.05)。结论产时发热不都是与绒毛膜羊膜炎有关,而发生新生儿不良结局应高度重视积极处理。Objective To investigate influence by intrapartum fever on maternal pregnancy outcome and neonatal prognosis. Methods There were 170 puerpera with intrapartum fever as intrapartum fever group, and another 170 puerpera without intrapartum fever history as control group at the same time period. Comparisons were made on cesarean section rate, vaginal delivery rate, incidence of meconium-staining amniotic fluid and newborn condition between the two groups. Results The intrapartum fever group had all higher cesarean section rate, vaginal delivery rate, and incidence of meconium-staining amniotic fluid than the control group（P〈0.05）. There was no statistical significance in difference of neonatal asphyxia, low umbilical artery blood gas, and incidence of neonatal pneumonia between the two groups（P〈0.05）. Conclution Intrapartum fever is not completely related with chorioamnionitis. High attention and active management should be taken for poor neonatal outcome. Key words

关 键 词：产时发热 妊娠结局 预后 

分 类 号：R714.46[医药卫生—妇产科学]