摘要
Abstract
Objective:To discuss and compare the changing rule of post-delivery serum C-reactive protein(CRP) and analyze the effect of different delivery types on CRP concentration. Method:A retrospective review of 250 maternity patients who delivered in our hospital from October 2012 to August 2013 were conducted,115 of them underwent vaginal delivery whereas 135 cases received cesarean section. The volume of intraoperative bleeding,time of operation,body temperature and blood routine tests of 48 hours after surgery were recorded meanwhile CRP concentration of preoperative 24 hours,intraoperative time,postoperative 24 hours,48 hours,72 hours and 96 hours were also collected,then these clinical data were analyzed combined with clinical history. Result:The volume of intraoperative bleeding in the cesarean section group was obviously more than that in the vaginal delivery group(P<0.01),the rate of infection after delivery was higher than that in the vaginal delivery group(P<0.05). Besides the neutrophil count and body temperature of 48 hours after surgery in the cesarean section group were higher than that in the vaginal delivery group(P<0.01),CRP concentration of the two groups gradually increased after childbirth,the both were much higher than the preoperative value(P<0.01),CPR concentration of the vaginal delivery group gradually decreased after postpartum 72 hours whereas CPR concentration of the cesarean section group gradually declined after postpartum 96 hours,and CRP concentration of the cesarean section group was higher than that in the vaginal delivery group in deferent period after delivery(P<0.01). Conclusion:Delivery type is the important factor that influences postpartum serum CRP concentration,measurement of postpartum serum CRP concentration has great significance in the choice of delivery type and clinical treatment.关键词
C-反应蛋白/分娩/剖宫产/产后Key words
C-reactive protein/Childbirth/Cesarean section/Postpartum
