剖宫产产妇围术期抗炎及促炎指标的变化观察

Changes of Anti-inflammatory and Proinflammatory Indexes in Cesarean Section

目的:观察分析剖宫产产妇围术期抗炎及促炎指标的变化。方法:选取2017年3月—2018年6月收治的产妇120例,依据分娩方式分为对照组(60例,进行自然分娩)和观察组(60例,进行剖宫产),分析各指标变化。结果:产前两组产妇血清抗炎因子并无较大变化(P>0.05);产后各时间段观察组产妇抗炎因子要显著高于对照组,差异有统计学意义(P<0.05);产前两组产妇促炎性因子无较大变化,差异无统计学意义(P>0.05);产后各时间观察组产妇促炎性因子变化更为显著,差异有统计学意义(P<0.05)。结论:剖宫产产妇围术期抗炎、促炎指标更为显著,应激反应更为激烈,因此要强化剖宫产产妇围术期炎症控制。

Objective:To analyze the changes of anti-inflammatory and proinflammatory indicators in perioperative period of cesarean section.Methods:120 parturients admitted from March 2017 to June 2018 were selected. According to the delivery method,they were divided into control group (60 cases) for natural delivery and observation group (60 cases) for cesarean section,and the changes of each index were analyzed.Results:There was no significant change in serum anti-inflammatory factors between the two groups ( P >0.05).Postpartum anti-inflammatory factors in the observation group were significantly higher than those in the control group ( P <0.05).There was no significant difference in pro-inflammatory factors between the two groups ( P >0.05).The changes of pro-inflammatory factors were more significant in the observation groups at each postpartum time,and the differences were statistically significant ( P <0.05).Conclusion:The perioperative anti-inflammatory and pro-inflammatory indicators of cesarean section were more significant,and the stress response was more intense.Therefore,the perioperative inflammatory control of cesarean section should be strengthened.