C—反应蛋白的测定对预诊绒毛膜羊膜炎的意义
C—反应蛋白,,C—反应蛋白；胎膜，早破；绒毛膜羊膜炎,1资料与方法,2结果,3讨论
【摘要】 目的 探讨C—反应蛋白(C—reactive protein,CRP)在胎膜早破中对预诊绒毛膜羊膜炎的意义。方法 对80例胎膜早破未分娩孕妇进行CRP测定，同时测定孕妇血常规、白细胞计数及分类作为对照。结果 平均破膜17h以上CRP可出现异常，并随破膜时间延长，CRP值逐渐升高，而血白细胞计数及分类变化不敏感，无特异性。结论 CRP比起其他的标准试验或临床试验：WBC计数及分类、体温、胎心率等，在胎膜早破分娩前反映感染存在的指标中最早出现异常，对预诊绒毛膜羊膜炎具有更大的敏感性。【关键词】 C—反应蛋白；胎膜，早破；绒毛膜羊膜炎
Significance of C—reactive protein for chorioamnionitis in premature rupture of membrane
ZHANG Rong.
Zhoupu Hospital,Nanhui District,Shanghai 201318,China
【Abstract】 Objective To probe into the value of Creactive protein(CRP) in monitoring premature rupture of the membrane(PROM) complicated by chorioamnionitis.Methods CRP level in 80 cases of predelivery women were detected,meanwhile,blood routine examination,the total counts and classification of white blood cell were detected as the control.Results CRP took abnormality after membrane rupture beyond 17 hours,and increased gradually with the time of membrane rupture lengthening,but the changes of blood routine and the counts and classification of white blood cell were not sensitive and specific. Conclusion CRP can take abnormality earlier before childbirth and could be as an index of chorioamnionitis in PROM. ......
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