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[胎粪污染羊水与羊膜腔内感染]

[Meconium-stained amniotic fluid and intra-amniotic infection].

作者信息

Pi Pi-Xiang, Zhu Fu-Fan, Huang Jian

机构信息

Department of Obstetrics and Gynecology, Second Xiangya Hospital, Central South University, Changsha 410011, China.

出版信息

Hunan Yi Ke Da Xue Xue Bao. 2003 Dec;28(6):648-50.

Abstract

OBJECTIVE

To explore the relationship between meconium-stained amniotic fluid and Fifty-six women of cesarean section with intact membrane and intra-amniotic infection.

METHODS

without parturient were divided into 3 groups according to the property of amniotic fluid (no meconium, I to approximately II degree meconium stainedness, and III degree mecomium stainedness). The content of interleukin-6 in amniotic fluid was measured with ELISA. The infiltration of inflammatory cells in the placenta and its membrane was determined by the pathological diagnosis. The neonatal Apgar score and puerperial infection after the surgery were analyzed.

RESULTS

There were no significant differences in the content of IL-6 in amniotic fluid and in the infiltration of inflammatory cells among the 3 groups. But the rate of neonatal asphyxia in the meconium-stained cases was significantly higher than that without meconium.

CONCLUSION

Meconium-stained amniotic fluid is a marker of fetal distress, but it is not related to intra-amniotic infection.

摘要

目的

探讨羊水粪染与56例胎膜完整的剖宫产产妇羊膜腔内感染之间的关系。

方法

将未临产产妇根据羊水性质(无胎粪、I至约II度胎粪污染、III度胎粪污染)分为3组。采用酶联免疫吸附测定法检测羊水中白细胞介素-6的含量。通过病理诊断确定胎盘及其胎膜中炎症细胞的浸润情况。分析术后新生儿阿氏评分及产褥感染情况。

结果

3组羊水中IL-6含量及炎症细胞浸润情况差异无统计学意义。但胎粪污染病例的新生儿窒息率明显高于无胎粪污染者。

结论

羊水粪染是胎儿窘迫的一个标志,但与羊膜腔内感染无关。

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