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抗生素治疗对宫颈阴道液中白细胞介素-6和白细胞介素-8浓度的影响。

Effects of antibiotic treatment on the concentrations of interleukin-6 and interleukin-8 in cervicovaginal fluid.

作者信息

Matsuda Yoshio, Kouno Satoshi, Nakano Hitoo

机构信息

Department of Obstetrics and Gynecology, Kagoshima City Hospital, Kagoshima, Japan.

出版信息

Fetal Diagn Ther. 2002 Jul-Aug;17(4):228-32. doi: 10.1159/000059374.

DOI:10.1159/000059374
PMID:12065950
Abstract

OBJECTIVE

We investigated to see the effect of antibiotics on interleukin (IL)-6 and IL-8 in cervicovaginal fluid in patients with premature rupture of the membranes.

STUDY DESIGN

Cervicovaginal fluid was sampled on admission and before delivery for measurement of IL-6 and IL-8 from 31 patients with less than 35 weeks of gestation. Concentrations of IL-6 and IL-8 were measured by ELISA.

RESULTS

The concentrations of IL-6 in cervicovaginal fluid in patients who were delivered because of clinical chorioamnionitis with antibiotics (n = 6) were significantly higher than in patients who were delivered because of active labor with (n = 14, p = 0.0133) and without antibiotics (n = 11, p = 0.0067). A significant change in the concentrations of IL-6 and IL-8 in cervicovaginal fluid was not observed in patients with and without antibiotics who were delivered because of active labor.

CONCLUSIONS

The concentrations of IL-6 and IL-8 in cervicovaginal fluid might be influenced by the presence of clinical chorioamnionitis, but not by antibiotic administration.

摘要

目的

我们研究了抗生素对胎膜早破患者宫颈阴道液中白细胞介素(IL)-6和IL-8的影响。

研究设计

对31例孕周小于35周的患者在入院时和分娩前采集宫颈阴道液,以检测IL-6和IL-8。采用酶联免疫吸附测定法(ELISA)测量IL-6和IL-8的浓度。

结果

因临床绒毛膜羊膜炎使用抗生素分娩的患者(n = 6)宫颈阴道液中IL-6的浓度显著高于因产程活跃使用抗生素(n = 14,p = 0.0133)和未使用抗生素(n = 11,p = 0.0067)分娩的患者。因产程活跃分娩的患者,无论是否使用抗生素,宫颈阴道液中IL-6和IL-8的浓度均未观察到显著变化。

结论

宫颈阴道液中IL-6和IL-8的浓度可能受临床绒毛膜羊膜炎的影响,但不受抗生素使用的影响。

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