分娩镇痛产时体温偏高孕妇发生HCA的影响因素分析  

Analysis of influencing factors of histological chorioamnionitis in pregnant women with high body temperature during labor analgesia

作　　者：姜静 褚月波 孙颖超 王思远 杨洪 JIANG Jing;CHU Yuebo;SUN Yingchao;WANG Siyuan;YANG Hong(Department of Obstetrics and Gynecology,Yuyao People's Hospital,Yuyao 315400,Zhejiang,China)

机构地区：[1]余姚市人民医院妇产科,浙江余姚315400

出　　处：《中国性科学》2024年第3期109-112,共4页Chinese Journal of Human Sexuality

基　　金：余姚市科技计划项目(2022YPT06)。

摘　　要：目的分析分娩镇痛产时体温偏高孕妇发生组织学绒毛膜羊膜炎(HCA)的影响因素。方法回顾性纳入2022年3月至2023年1月余姚市人民医院收治的54例分娩镇痛产时体温偏高且发生HCA的孕妇作为HCA组,纳入同期同一医院收治的58例分娩镇痛产时体温偏高但未发生HCA的孕妇作为非HCA组。分析分娩镇痛产时体温偏高孕妇发生HCA的危险因素。结果多因素Logistic回归分析结果显示,生殖道解脲支原体感染、胎膜早破、外周血中性粒细胞(NEUT)及血清C反应蛋白(CRP)水平较高均为分娩镇痛产时体温偏高孕妇发生HCA的独立危险因素(P<0.05)。结论分娩镇痛产时体温偏高孕妇发生HCA的独立危险因素包括生殖道解脲支原体感染、胎膜早破、外周血NEUT及血清CRP水平较高。Objective To analyze the influencing factors of histological chorioamnionitis(HCA)in pregnant women with high body temperature during labor analgesia.Methods A total of 54 pregnant women with high body temperature and HCA during labor analgesia admitted to Yuyao People's Hospital from March 2022 to January 2023 were retrospectively included as HCA group,and 58 pregnant women with high body temperature during labor analgesia but without HCA in the same hospital during the same period were included as non-HCA group.The risk factors of HCA in pregnant women with high body temperature during labor analgesia were analyzed.Results Multivariate Logistic regression analysis showed that ureaplasma urealyticum infection in reproductive tract,premature rupture of membranes,higher levels of neutrophils(NEUT)in peripheral blood and serum C-reactive protein(CRP)were all independent risk factors for HCA in pregnant women with high body temperature during labor analgesia(P<0.05).Conclusions The independent risk factors of HCA in pregnant women with high body temperature during labor analgesia included ureaplasma urealyticum infection in reproductive tract,premature rupture of membranes,higher levels of NEUT in peripheral blood and serum CRP.

关 键 词：组织学绒毛膜羊膜炎 分娩镇痛 产妇 影响因素 

分 类 号：R714[医药卫生—妇产科学]