剖宫产与自然分娩对产妇产褥感染、血清WBC、CRP及PCT水平的影响

Effect of cesarean section and natural delivery on maternal puerperal infection and the levels of serum WBC, CRP and PCT

目的探究剖宫产、自然分娩对产妇产褥感染、血清白细胞计数(WBC)、C反应蛋白(CRP)、降钙素原(PCT)表达的影响。方法选取本院2016年2月至2018年2月剖宫产与自然分娩产妇各198例为研究对象,分别设为剖宫产组和自然分娩组。观察两组产褥感染发生率,并比较两组产前1d、产后3d血清WBC、CRP及PCT水平。结果剖宫产组产褥感染总发生率为8.08%,高于自然分娩组的3.03%,差异具有统计学意义(P<0.05);剖宫产组切口感染发生率高于自然分娩组(P<0.05)。产后3d,两组产妇WBC、CRP、PCT水平均高于产前1d,但自然分娩组WBC、CRP、PCT水平均低于剖宫产组,差异具有统计学意义(P<0.05)。结论不同分娩方式对产妇产褥感染及血清WBC、CRP、PCT水平存在影响,剖宫产产妇的产褥感染发生率及WBC、CRP、PCT表达高于自然分娩产妇。

Objective To investigate the effect of cesarean section and natural delivery on maternal puerperal infection and the expression of serum white blood cell count (WBC), C-reactive protein (CRP) and procalcitonin (PCT). Methods One hundred and ninety-eight cases of cesarean section and 198 cases of natural delivery in our hospital from February 2016 to February 2018 were selected as the research objects, and they were divided into cesarean section group and natural delivery group. The incidences of puerperal infection between the two groups were observed, and the levels of serum WBC, CRP and PCT in the two groups at 1 day before delivery and 3 days after delivery were compared. Results The total incidence of puerperal infection in the cesarean section group was 8.08%, which was higher than 3.03% in the natural delivery group, and the difference was statistically significant (P<0.05), and the incidence of incision infection in the cesarean section group was higher than that in the natural delivery group (P<0.05). At 3 days after delivery, the levels of WBC, CRP and PCT in the two groups were higher than those at 1 day after delivery, but the levels of WBC, CRP and PCT in the natural delivery group were lower than those in the cesarean section group, and the differences were statistically significant (P<0.05). Conclusion Puerperal infection and levels of serum WBC, CRP and PCT are affected by different delivery modes. The incidence of puerperal infection and expression of WBC, CRP and PCT in the cesarean section women are higher than those in the natural delivery women.