高危妊娠中急性绒毛膜羊膜炎对妊娠结局的影响评价

Evaluation of the effect of acute chorioamnionitis on pregnancy outcome in high-risk pregnancy

目的分析高危妊娠中急性绒毛膜羊膜炎对妊娠结局的影响。方法选取2017年8月至2018年9月在本院接受治疗的伴急性绒毛膜羊膜炎高危妊娠患者36例设为观察组,选取同期在本院进行治疗的无急性绒毛膜羊膜炎高危妊娠患者36例设为对照组,比较两组患者的妊娠结局、围生儿并发症发生率、新生儿Apgar评分、CRP水平、白细胞计数。结果观察组患者的剖宫产发生率为58.33%、胎盘早剥发生率为27.78%、早产发生率为38.89%、产后出血发生率为33.33%、产褥感染发生率为30.56%,与对照组患者的妊娠结局对比差异有统计学意义(P<0.05);观察组围生儿并发症的发生率为33.33%,明显高于对照组,差异有统计学意义(P<0.05);观察组新生儿Apgar评分为(3.99±0.35)分,与对照组新生儿对比,差异有统计学意义(P<0.05);观察组CRP水平为(12.74±1.15)mg/L、白细胞计数为(14.07±1.26)×109/L,与对照组对比差异有统计学意义(P<0.05)。结论急性绒毛膜羊膜炎会对高危妊娠患者造成较大的负面影响,增加不良妊娠结局的发生率,影响新生儿的健康情况。

Objective To analyze the effect of acute chorioamnionitis on pregnancy outcome in high-risk pregnancy.Methods 36 patients with high-risk pregnancy with acute chorioamnionitis who were treated in our hospital from August 2017 to September 2018 as the observation group.36 patients without acute chorioamnionitis high-risk pregnancy was selected at the same time as the control group.The pregnancy outcome,perinatal complications,neonatal Apgar score,CRP level,and white blood cell count were compared between two groups.Results In the observation group,the incidence of cesarean section was 58.33%,the incidence of placental abruption was 27.78%,the premature birth rate was 38.89%,the incidence of postpartum hemorrhage was 33.33%,and the incidence of puerperal infection was 30.56%.Compared with the pregnancy outcome of the control group,there was significant difference(P<0.05).The incidence of perinatal complications in the observation group was 33.33%,which was significant higher than the control group,there was significant difference(P<0.05).The Apgar score of the neonate in the observation group was(3.99±0.35)scores,there was significant difference with the control group(P<0.05).The CRP level of the observation group was(12.74±1.15)mg/L,white blood cell count was(14.07±1.26)×109/L,the difference was significant compared with the control group(P<0.05).Conclusion Acute chorioamnionitis can have a large negative impact on high-risk pregnant patients,increase the incidence of adverse pregnancy outcomes,and affect the health of newborns.