·腹部疾病·
胎膜早破孕妇血清IL-6水平及临床意义
作者:李丽娜1 杨军胜2
所属单位:1.许昌学院医学院医学技术系 (河南 许昌 461000) 2.河南省许昌口腔医院影像科 (河南 许昌 461000)
PDF摘要
目的 探讨论胎膜早破孕妇白细胞介素-6(IL-6)的表达水平及其临床意义。方法 选取我院产科在2015年1月至 2016年2月收治的70例行剖宫产分娩的胎膜早破孕妇作为观察组,另选取29例同期在我院住院的非胎膜早破的 孕妇,对比两组孕妇血清IL-6的表达水平。结果 观察组血清IL-6水平明显高于对照组[(0.71±0.12)µg/L vs (0.42±0.09)µg/L](P<0.05);足月组血清IL-6水平明显低于未足月组[(0.64±0.10)µg/L vs (0.81±0.15)µg/ L](P<0.05);感染组患者血清IL-6水平明显高于未感染组(P<0.05);重度感染血清IL-6水平明显高于轻度感染与中 度感染(P<0.05);中度感染血清IL-6水平明显高于轻度感染(P<0.05)。结论 血清IL-6的表达水平是用于检测胎膜 早破绒毛膜羊膜炎感染的较好指标
Objective To study the expression level and clinical significance of interleukin-6 (IL-6) in pregnant women with premature rupture of membranes. Methods From Jan. 2015 to Feb. 2016, a total of 70 cesarean section pregnant women with premature rupture of membranes in our hospital were selected as observation group, at the same time another 29 normal pregnant women were selected as control group. The IL-6 levels in the two groups were compared. Results The serum IL-6 level in the observation group was (0.71±0.12) µg/L which was significantly higher than that in the control group (0.42±0.09)µg/L(P<0.05), the serum IL-6 level in the mature group was (0.64±0.10) µg/L which was obviously lower than that in the premature group (0.81±0.15) µg/L (P<0.05), the level of serum IL-6 in the infected group was significantly higher than that in the uninfected group (P<0.05), the level of serum IL-6 in the severe infected patients was significantly higher than that in the mild and moderate infected patients(P<0.05), the serum IL-6 level in the moderate infected patients was significantly higher than in the mild infected patients(P<0.05). Conclusion The expression level of serum IL-6 is a better indicator for detecting the chorioamnionitis of premature rupture of membranes.
【关键词】胎膜早破;孕妇;白细胞介素-6;临床意义
【中图分类号】R714.43+3
【文献标识码】A
【DOI】10.3969/j.issn.1009-3257.2017.05.016
前言
胎膜早破(premature rupture of membranes, PROM)是指胎膜在临产前胎膜自然的破裂,是围生期 常见的一种现象。常见的发病原因为感染、创伤、胎 膜发育不全、宫腔内压力异常等。而主要的临床表现 为阴道流血、腹部疼痛等症状。临床上主要检查方法 为阴道分泌物检查或经腹羊膜腔穿刺等。目前对于治 疗胎膜早破的症状主要的治疗手段是先对胎膜早破的 并发症进行治疗,同时还要预防感染。近些年有相关 文献表明胎膜早破的发病率有明显升高的趋势[1]。临床上大量研究表明胎膜早破的原因是因为绒毛膜羊膜 炎感染导致,但因感染前期患者并无明显临床表现, 往往是发病后通过临床病检才知道原因,因临床症状 不典型导致孕妇的发病率及死亡率升高[2]。本文通过 研究胎膜早破孕妇血清IL-6的表达水平,旨在为胎膜 早破临床感染的诊断及治疗提供科学依据,现报告如 下。
罕少疾病杂志
第24卷, 第 5 期
2019年11月
相关文章