绒毛膜羊膜炎对胎儿窘迫及妊娠结局的影响

Effect of chorioamnionitis on fetal distress and pregnancy outcomes

目的探讨绒毛膜羊膜炎(CA)对胎儿窘迫及妊娠结局的影响。方法选取2016年10月至2017年10月我院150例CA孕妇作为研究组,并选取同期来我院分娩的150例正常孕妇作为对照组,比较两组产妇的妊娠结局及胎儿窘迫的胎盘病理检查结果。结果研究组胎儿窘迫、新生儿窒息、新生儿感染、病理性黄疸的发生率均显著高于对照组(P<0.05)。研究组产妇产褥期感染、胎盘残留及产后出血发生率均显著高于对照组(P<0.05)。研究组53例胎儿窘迫中,其中因CA所致的胎儿窘迫占52.83%,显著高于其他病理类别(P<0.05)。结论 CA会增加产妇产褥期感染、胎盘残留、产后出血的发生率及胎儿窘迫、新生儿窒息、新生儿感染、病理性黄疸的发生率,另外还是胎儿窘迫的主要发生因素,临床上应引起足够的重视。

Objective To explore effect of chorioamnionitis（CA） on fetal distress and pregnancy outcomes. Methods A total of 150 pregnant women with CA admitted in our hospital from October 2016 to October 2017 were selected as study group. And 150 cases of normal pregnant women at the same period were selected as control group. Pregnancy outcomes of pregnant women and placenta pathology results of fetal distress were compared between the two groups. Results The incidences of fetal distress,neonatal asphyxia, neonatal infection and pathological jaundice in the study group were significantly higher than those in the control group（P〈0.05）. The incidences of maternal puerperium infection, placental residue and postpartum hemorrhage in the study group were significantly higher than those in the control group（P〈0.05）. Among the 53 cases of fetal distress in the study group, fetal distress caused by CA accounted for 52.83%, which was significantly higher than other pathological categories（P〈0.05）. Conclusion CA can increase the incidences of maternal puerperium infection, placental residue and postpartum hemorrhage of maternals, and increase the incidences of fetal distress, neonatal asphyxia, neonatal infection and pathological jaundice. It is still the main cause of fetal distress, which should pay enough attention in clinic.