本文選題：血清淀粉樣蛋白A + 胎膜早破　； 參考：《中國(guó)實(shí)用婦科與產(chǎn)科雜志》2017年04期

【摘要】：目的探討母體血清淀粉樣蛋白A與未足月胎膜早破并發(fā)亞臨床絨毛膜羊膜炎的關(guān)系。方法 2016年2月至9月在南方醫(yī)科大學(xué)南方醫(yī)院選取足月胎膜早破組、未足月胎膜早破組、足月對(duì)照組和未足月對(duì)照組孕婦各30例,比較4組分娩前血清淀粉樣蛋白A水平及胎盤胎膜病理結(jié)果。結(jié)果 (1)未足月胎膜早破組血清淀粉樣蛋白A顯著高于足月胎膜早破組和兩組對(duì)照組(P0.001)。(2)足月胎膜早破組和未足月胎膜早破組組織學(xué)絨毛膜羊膜炎陽(yáng)性率顯著高于對(duì)照組(P0.05)。(3)組織學(xué)絨毛膜羊膜炎陽(yáng)性者血清淀粉樣蛋白A顯著高于組織學(xué)絨毛膜羊膜炎陰性者(P0.05)。(4)未足月胎膜早破合并組織學(xué)絨毛膜羊膜炎者血清淀粉樣蛋白A界值為17.55mg/L時(shí)約登指數(shù)最高。結(jié)論血清淀粉樣蛋白A與未足月胎膜早破和組織學(xué)絨毛膜羊膜炎密切相關(guān)。
[Abstract]:Objective to investigate the relationship between maternal serum amyloid A and subclinical chorioamnionitis after premature rupture of unmatured membranes. Methods from February to September 2016, 30 pregnant women were selected from the Southern Hospital of Southern Medical University, 30 pregnant women in the term group, 30 cases in the non-term group, 30 cases in the control group and 30 cases in the control group. Serum amyloid A level and placental membrane pathological results were compared in the four groups before delivery. Results (1) the positive rate of serum amyloid A was significantly higher in the unterm premature rupture group than in the term membrane premature rupture group and the control group (P0.001). (2). The positive rate of histopathological chorioamnionitis was significantly higher in the non-term membranes premature rupture group than in the term premature rupture group and the control group (P0.001). (2). In the control group (P0.05). (3), the serum amyloid A level in patients with histologically positive chorioamnionitis was significantly higher than that in the patients with histologically negative chorioamnionitis (P0.05). (4). The serum amyloid A level was significantly higher in patients with premature rupture of membranes than in patients with histologically positive chorioamnionitis (P0.05). (4). At 17.55 mg / L, the Yorden index is the highest. Conclusion Serum amyloid A is closely related to premature rupture of unmatured membranes and histopathological chorioamnionitis.
【作者單位】： 南方醫(yī)科大學(xué)南方醫(yī)院婦產(chǎn)科;
【分類號(hào)】：R714.433

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本文編號(hào)：2058127