红光照射对顺产妊娠糖尿病产妇产后感染的预防效果  

Effect of Red Light Irradiation on the Prevention of Postpartum Infection in Puerpera with Eutocia Gestational Diabetes Mellitus

作　　者：胡婷婷[1] HU Ting-ting(Zhengzhou Second People's Hospital,Henan Zhengzhou 450000)

机构地区：[1]郑州市第二人民医院,河南郑州450000

出　　处：《深圳中西医结合杂志》2023年第3期79-82,共4页Shenzhen Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的:观察红光照射对顺产妊娠糖尿病(GDM)产妇产后感染的预防效果。方法:回顾性选取2021年3月至2022年2月在郑州市第二人民医院采用顺产方式分娩的GDM产妇资料,以采用常规产后抗感染干预的49例产妇作为对照组,以在常规抗感染干预基础上应用红光照射干预的49例产妇作为观察组。比较两组产妇产后临床资料、血清炎症因子水平与宫颈局部微循环指标。结果:观察组产妇产后发热率、感染率低于对照组,差异具有统计学意义(P<0.05);观察组产妇产后3 d的视觉模拟评分法(VAS)评分、切口恢复时间少于对照组,差异具有统计学意义(P<0.05);观察组产妇产后3 d的C反应蛋白(CRP)、肿瘤坏死因子–α(TNF–α)、白细胞介素–6(IL–6)水平均低于对照组,差异具有统计学意义(P<0.05);观察组产妇毛细血管内径、血流灌注、微血管管径均高于对照组,差异具有统计学意义(P<0.05)。结论:红光照射可改善顺产GDM产妇的宫颈微循环,辅助减轻产后炎症反应,从而有效提高产后感染的预防效果。Objective To observe the preventive effect of red light irradiation on the prevention of postpartum infection with eutocia gestational diabetes mellitus(GDM).Methods The data of GDM women who delivered in Zhengzhou Second People's Hospital from March 2021 to February 2022 by vaginal delivery were retrospectively selected.A total of 49 puerpera who received conventional postpartum anti-infection intervention were selected as the control group,and 49 puerpera who received red light irradiation intervention on the basis of conventional anti-infection intervention were selected as the observation group.The postpartum clinical data,serum inflammatory factors and cervical microcirculation indexes were compared between the two groups.Results The postpartum fever rate and infection rate of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).The visual analogue scale(VAS)score and incision recovery time of the observation group were less than those of the control group 3 days after delivery,and the differences were statistically significant(P<0.05).The levels of C-reactive protein(CRP),tumor necrosis factor-α(TNF-α)and interleukin-6(IL-6)in the observation group were lower than those in the control group 3 days after delivery,and the differences were statistically significant(P<0.05).The inner diameter of capillary,blood perfusion and microvascular diameter in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Red light irradiation can improve the cervical microcirculation of GDM women,help reduce postpartum inflammatory response,so as to effectively improve the prevention effect of postpartum infection.

关 键 词：妊娠糖尿病 红光照射 顺产 产后感染 

分 类 号：R587.1[医药卫生—内分泌]