胎盘病理检查在产科亚临床感染中的作用

The Role of Placental Pathology Examination in Obstetric Subclinical Infection

目的:浅析胎盘病理检查在产科亚临床感染中的作用。方法:选取2019年1月至2020年12月在韶关市第一人民医院实施自然阴道分娩的200例产妇作为研究对象,前100例入院的产妇设定为对照组,均未进行胎盘病理检查,后入院的100例产妇设定为观察组,均已接受胎盘病理检查,比较两组产妇和新生儿感染率。结果:对照组产妇的盆腔感染和伤口感染占比分别为5 %、8 %,总感染率为13 %,观察组产妇的盆腔感染和伤口感染占比均为2 %,总感染率为4 %,两组比较,差异具有统计学意义(P<0.05)。对照组新生儿肺炎和败血症占比分别为4 %和7 %,总感染率为11 %,观察组新生儿肺炎和败血症感染率分别为2 %和1 %,总感染率为3 %,差异具有统计学意义(P<0.05)。结论:对自然阴道分娩进行胎盘病理检查,可有效降低产妇盆腔感染和伤口感染率,减少胎儿肺炎和败血症情况。

Objective To analyze the role of placental pathology in obstetrics subclinical infection.Methods A total of 200 cases of parturient women undergoing natural vaginal delivery in Shaoguan First People’s Hospital from January 2019 to December 2020 were selected as the research object.The first 100 parturient women admitted to hospital were set as the control group and none of them underwent placental pathological examination,while the latter 100 parturient women were set as the observation group and all of them received placental pathological examination.Maternal and neonatal infection rates were compared between the two groups.Results The proportion of pelvic infection and wound infection in the control group was 5% and 8%,respectively,and the total infection rate was 13%.The observation group was 2% and the total infection rate was 4%,and the difference was statistically significant (P < 0.05).The proportion of neonatal pneumonia and septicemia in the control group was 4% and 7%,respectively,and the total infection rate was 11%,while the fetal infection rates in the observation group were 1% and 2%,respectively,and the total infection rate was 3%.The difference was statistically significant (P < 0.05).Conclusion Placental pathological examination of natural vaginal delivery can effectively reduce maternal pelvic infection and wound infection rate,reduce fetal pneumonia and septicemia.