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目的探讨水中分娩对母婴感染的影响。方法选取行水中分娩的产妇160例,随机抽取同期160例传统经阴道分娩者(传统分娩组)作为对照。两组新生儿娩出后取咽及耳拭子作病原微生物培养,并于出生后2 d抽血查血常规和C反应蛋白(CRP);两组产妇于分娩2 d后抽血查血常规、CRP和降钙素原(PCT);并观察母婴感染相关的临床表现。结果两组母婴感染临床表现比较差异无统计学意义(P>0.05)。传统分娩组产妇WBC为(9.65±3.16)×10~9,CRP为(37.32±10.13)mg/L,PCT为(0.06±0.05)ng/ml,而水中分娩组产妇WBC为(9.31±3.25)×10~9,CRP为(35.57±9.54)mg/L,PCT为(0.06±0.03)ng/ml,两组比较差异无统计学意义(P>0.05)。传统分娩组新生儿WBC为(11.48±3.54)×109,CRP为(6.42±1.74)mg/L,而水中分娩组新生儿WBC为(11.39±2.50)×10~9、CRP为(6.68±1.52)mg/L,两组比较差异无统计学意义(P>0.05)。水中分娩组咽拭子阳性18例,耳拭子阳性27例;传统分娩组咽拭子23份阳性,耳拭子32份阳性,两组咽耳拭子病原微生物培养阳性率差异无统计学意义(P>0.05)。结论水中分娩并未增加母婴感染。
Objective To investigate the effect of water delivery on maternal-to-infant infection. Methods Totally 160 pregnant women delivered in water were randomly selected and 160 cases of traditional vaginal delivery (traditional delivery group) were randomly selected as the control. Two groups of newborns were taken after the pharyngeal and ear swabs were taken for pathogenic microorganism culture and blood routine examination and C-reactive protein (CRP) were performed 2 d after birth. The two groups of women took blood routinely after 2 days of delivery, CRP and procalcitonin (PCT); and observe the clinical manifestations associated with maternal and infant infections. Results There was no significant difference in clinical manifestations between the two groups (P> 0.05). The WBC in the traditional delivery group was (9.65 ± 3.16) × 10 ~ 9, the CRP was (37.32 ± 10.13) mg / L and the PCT was (0.06 ± 0.05) ng / ml, while the WBC in the water delivery group was (9.31 ± 3.25) × 10 ~ 9, CRP was (35.57 ± 9.54) mg / L, PCT was (0.06 ± 0.03) ng / ml, there was no significant difference between the two groups (P> 0.05). The WBC in the traditional delivery group was (11.48 ± 3.54) × 109 and the CRP was (6.42 ± 1.74) mg / L, while the WBC in the water delivery group was (11.39 ± 2.50) × 10-9 and the CRP was (6.68 ± 1.52 ) mg / L, no significant difference between the two groups (P> 0.05). In the water delivery group, throat swabs were positive in 18 cases and ear swabs were positive in 27 cases. In the traditional delivery group, 23 were positive for throat swabs and 32 were ear swabs. There was no significant difference in the positive rate of pathogenic microorganisms between the two groups (P> 0.05). Conclusion The delivery in water did not increase the maternal-infant infection.