羊水中葡萄糖含量与宫内感染的关系

The relation between the glucose level in amniotic flu-id and intrauterine infection.

本文测定６２例足月孕产妇血和羊水中葡萄糖含量、羊水细菌培养、Ｃ反应蛋白及白细胞计数和分类，了解羊水中葡萄糖含量与宫内感染的关系。结果表明：在血糖浓度一致的惰况下，宫内感染组羊水中葡萄糖浓度（０．６５０±０．２７ｍｍｏｌ／Ｌ）明显低于无宫内感染组（１．５４９±０．６３ｍｍｏｌ／Ｌ）．差异有极显著性，提示羊水中葡萄糖低水平与宫内感染有关。１３例宫内感染，羊水中葡萄糖含量全部≤０．９ｍｍｏｌ／Ｌ，正常组４９例仅有８例≤０．９ｍｍｏｌ／Ｌ，其诊断宫内感染的敏感性为６１．９％，特异性为１００％。羊水中葡萄糖测定诊断宫内感染优于Ｃ反应蛋白及白细胞计数．是一种廉价、快速、可推广的好方法。

he glucose levels in amniotic fluid and maternalblood,the amniotic fluid bacteria culture,the CRP andABC were measured in 62 term pregnant women. Theresults showed:Under the condition of that the bloodglucose levels were the same,the glucose level in amniotic fluid of intrauterine infection group (x = 0. 650±0. 27mmol/L)was obviously lower than that of non-intrauterine infection group (x = 1. 549 ± 0. 63mmol/L). The difference between the two groups was obvi-ous and suggested that the low glucose level in amni-otic fluid had been associated with the intrauterine in-fection. The glucose levels in amniotic fluid of all 13cases of intrauterine infection were < 0. 9mmol/L. A-mong the 49 cases of control group,there were & caseswhose glucose level in amniotic fluid were<0. 9mmol/L. The sensitivity of this method on diagnosing in-trauterine infection was 61. 9% and specifity was100%. The conclusion was that this method was better than the measuring of CRP and WBC for diagnos-ing the intrauterine infection.