摘要
目的:探讨围产因素对早期新生儿血清C-反应蛋白(CRP)检测的影响。方法:在490例早期新生儿血清CRP阳性者中,遴选非感染病例226例,分析围产因素与其检测结果的关系。结果:分娩方式与CRP检测结果密切相关,剖腹产的阳性率明显高于顺产,钳产或吸引产更显著高于顺产,生后窒息及高龄产妇的CRP阳性率也明显高于对照组,不同性别及胎儿成熟度之间的CRP检测结果无明显异差。结论:诊断早期新生儿感染不应过分依重CRP检测结果,应与临床、实验室及细菌学检查结合,以免造成滥用抗菌素。
Objective：To investigate the influence of perinatal factors on serum C-reactive protein（CRP） of early neonates.Methods：From 490 early neonates with serum CRP positive during four years,226 cases of non-infected were chosen and analyzed the correlation between perinal factors and CRP results.Results：Our study showed that there was high correlation between labor way and CRP results.The CRP positive rate of caesarean delivery was significantly higher than spontaneous delivery.The CRP positive rate of forceps delivery or application of vacuum extractor was more prominently higher than spontaneous delivery.The CRP positive rate of anoxia after birth and advanced age parturient woman were significantly higher than control group too.No correlation was found between sex,fetal maturity and CRP.Conclusion：Early diagnosis of neonatal infection should not be too heavy on CRP test results,We should be combined with clinical,laboratory and bacteriological examination,so as to avoid the abuse of antibiotics.
出处
《中国妇幼保健》
CAS
北大核心
2010年第25期3580-3581,共2页
Maternal and Child Health Care of China
关键词
新生儿
早期
围产因素
CRP
Neonate
Early
Perinatal factors
C-reactive protein
