207例产时发热产妇胎盘病理结果与新生儿近期预后的相关性研究

Correlation between placental pathology and neonatal short-term outcomes in 207 patients with intrapartum fever

目的:探讨产时发热产妇胎盘病理与新生儿近期预后的相关性,评估胎盘病理对新生儿预后的意义。方法:回顾分析2015年1月1日至2017年6月30日于复旦大学附属妇产科医院黄浦院区分娩的207例产时发热产妇的胎盘病理情况及新生儿结局,根据产后胎盘病理将其分成阴性、轻度、中度、重度炎症等4组,比较各组新生儿预后不良的差异。结果:胎盘病理表现为阴性、轻度、中度、重度炎症组新生儿不良预后的发生率分别为39.22%、34.18%、42.86%、66.67%,差异无统计学意义(P>0.05);各组间新生儿Apgar评分、复苏氧疗率、新生儿感染、窒息、酸中毒及湿肺的患病率比较,差异均无统计学意义(P>0.05)。结论:产时发热的孕妇产后送检胎盘病理对预测和评估新生儿近期预后价值有限。

Objective： To study the correlation between placental pathology and neonatal in patients with intrapartum fever,and to evaluate the value placental pathology in short-term neonatal prognosis.Methods： The data of placental pathology and newborns outcomes in 207 patients with intrapartum fever who labored in Obstetrics and Gynecology Hospital of Fudan University from Jan2015 to Jun 2017 were analyzed retrospectively.According to the pathology results of placenta,the patients were divided into normal,mild,moderate and severe chorioamnionitis groups. The adverse outcomes of those groups were compared. Results： The neonatal adverse outcome ratio of normal,mild,moderate and severe groups were 39.22%,34.18%,42.86% and 66.67%,respectively.There was no significant difference in Apgar scores,oxygen therapy,neonatal infection,neonatal asphyxia,wet lung and acidosis ratio among those groups.Conclusion： Placental pathology in intrapartum fever is limited in predicting and evaluating neonatal prognosis.