胎膜早破产妇产道检查与产褥感染的关系

Study on the Relationship between Premature Rupture of the Maternal Birth Canal Inspection and Puerperal Infection

目的：探讨胎膜早破产妇行产道检查对产褥感染的发生有无关系。方法：将64例胎膜早破产妇分为病例组（产道检查〉2次）32例、对照组（产道检查≤2次）32例,观察所有入选产妇发热症状,并分别检测产前、产后24～48 h血常规白细胞总数（WBC）、降钙素原（PCT）指标。结果：病例组发热症状及WBC、PCT升高值均明显高于对照组（P〈0.05）。结论：胎膜早破产妇频繁产道检查会显著增加产褥期发热的发生,可能与产褥感染相关。

Objective： To investigate the relationship between the birth canal examination and puerperal infection in premature rupture of membranes（PROM）.Method ： 64 cases of premature rupture of membranes were divided into two groups, 32 women were divided into the case group（birth canal examination 〉2）, and other 32 cases were divided into the control group（birth canal examination were less than or equal to 2 times）, the patient＇s temperature, the total white blood cell eount（WBC） of prenatal and postnatal 24 to 48 hours, and the procalcitonin（PCT） were recorded.Result： Compared with the control group, all the indexes in the case group were significantly higher（P〈0.05）.Conelusion： Frequently cheek the birth canal will significantly increase the incidence of puerperal infection in premature rupture of membranes（PROM）.