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目的探讨母血 C反应蛋白 (CRP)、羊水白细胞介素 -6 (IL-6 )及葡萄糖含量三项指标预测未足月胎膜早破早期宫内感染的价值。方法收集未足月胎膜早破孕妇的羊水 ,测定 IL-6、葡萄糖含量及沙眼衣原体 Ig M抗体、巨细胞病毒 Ig M抗体、解脲支原体 ,并作细胞培养。采集母血测定 CRP。结果 1IL-6预测早期宫内感染的敏感性最高 ;2三指标的参考值为 CRP≥ 0 .1g/ L,IL -6≥6 .0× 10 - 8g/ L,葡萄糖≤ 0 .5 mmol/ L。结论羊水 IL-6预测早期宫内感染是最敏感的指标
Objective To investigate the value of maternal serum C-reactive protein (CRP), amniotic fluid interleukin-6 (IL-6) and glucose content in predicting the early intrauterine infection of unterm full-term premature rupture of membranes. Methods Amniotic fluid was collected from pregnant women with preterm premature rupture of membranes. The levels of IL-6, glucose, IgM antibody to CMV, IgM antibody to cytomegalovirus and Ureaplasma urealyticum were measured and cultured. Collect maternal blood to measure CRP. Results 1IL-6 was the most sensitive in predicting early intrauterine infection. The reference values of two indexes were CRP≥0.1g / L, IL-6≥6.0 × 10-8g / L, glucose≤0.5mmol / L. Conclusion Amniotic fluid IL-6 predicts early intrauterine infection is the most sensitive indicator