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《Journal of Tropical Medicine》 2019-08
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Correlation analysis between premature rupture time of fetal membranes and histological chorionic amnionitis

XING Shun-lian;LI Jie;TAN Ze-huan;Huizhou No.2 Women's and Children's Healthcare Hospital;  
Objective To analyze the correlation between preterm premature rupture of membrane(PPROM) andhistological chorionic amnionitis(HCA). Methods From February 2016 to February 2018,84 cases of PPROM at 28~33 weeks of gestation admitted by the obstetrics department of Huizhou No.2 Women's and Children's Healthcare Hospital weredivided into three groups according to the time of premature rupture of membranes:group A(the time of premature ruptureof membranes24 h)38 cases,group B(24 hthe time of premature rupture of membranes48 h)31 cases,and group C(the time of premature rupture of membranes48 h)15 cases. The differences of HCA detection rate,HCA pathologicalstaging and neonatal complications were analyzed. The relationship between the time of PPROM and HCA incidence andHCA pathological staging was analyzed by using Spearman' s rank correlation coefficient analysis. Results Among 84 patients,62 suffered from HCA,and the incidence was 73.81%. The incidence of HCA and the histopathological stages ofHCA increased with the prolonged latency(P0.05). Both the incidence of HCA and the histopathological stages of group Band group C were higher than group A(P0.05),but there was no statistically significant difference between group B andgroup C(P0.05). The time of PPROM was positively correlated with the pathological staging of HCA(r=0.302,P0.05).Birth weight,gestational weeks and the Apgar score at birth 1 min and neonatal complications were not correlated with thethe time of premature rupture of membranes(P0.05). Conclusion The longer the duration of membrane rupture tochildbirth in PPROM patients,the higher was the incidence of HCA and the heavier the pathological stage of HCA.However,when the time of premature rupture of membranes exceeded 48 h,the growth rate and deterioration degree ofHCA gradually eased. Meanwhile,the latency of the time of premature rupture of membranes did not increase the risk ofneonatal complications.
【CateGory Index】: R714.433
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