产妇宫内感染对早产儿脑损伤与细胞因子的影响研究

Effects of maternal intrauterine infections on brain damage and cytokines of preterm children

  • 摘要: 目的 探讨产妇宫内感染对早产儿脑损伤及细胞因子的影响,为早产儿脑损伤的相关临床研究提供参考依据。方法 选取2013年12月-2014年10月医院宫内感染产妇分娩的早产儿45例为感染组,同时选取同期医院宫内无感染的产妇分娩早产儿45例为非感染组,比较两组早产儿的脑损伤发生率、血清细胞因子中白介素-1β(IL-1β)、白介素-6(IL-6)、白介素-10(IL-10)和肿瘤坏死因子-α(TNF-α)以及住院时间和治疗费用。结果 感染组早产儿脑损伤发生率为62.22%,高于非感染组的37.78%,感染组早产儿的IL-1β、IL-6、TNF-α水平分别为(4.85±1.24)μg/L、(5.84±2.93)μg/L、(4.73±1.45)μg/L,高于非感染组的(1.63±0.42)μg/L、(1.97±0.56)μg/L、(2.34±0.31)μg/L,感染组早产儿的IL-10水平为(1.62±0.40)μg/L,低于非感染组的(1.32±0.21)μg/L,感染组早产儿的住院时间为(14.92±2.93)d,长于非感染组的(4.39±1.27)d,住院费用(11283.76±111.92)元高于非感染组的(4182.34±89.02)元,差异有统计学意义(P<0.05)。结论 产妇宫内感染可导致早产儿脑损伤发生率升高,相关细胞因子会出现异常,增加了临床治疗成本。

     

    Abstract: OBJECTIVE To explore the influence of maternal intrauterine infections on brain damage and cytokines of preterm children so as to provide guidance for clinical study of brain damage of the preterm children.METHODS From Dec 2013 to Oct 2014, totally 45 preterm children who were given birth by puerpera with intrauterine infections were chosen as the infection group, meanwhile, 45 preterm children who were given birth by puerpera without intrauterine infections were set as the non-infection group.The incidence of brain damage, levels of serum cytokine such as interleukin-1β(IL-1β), interleukin-6 (IL-6) and tumor necrosis factor-α(TNF-α), length of hospital stay, and treatment cost were observed and compared between the two groups of preterm children.RESULTS The incidence of brain damage of the infection group was 62.22%, higher than 37.78% of the non-infection group.The level of IL-1β of the infection group was (4.85±1.24)μg/L, higher than (1.63±0.42)μg/L of the non-infection group; the level of IL-6 of the infection group was (5.84±2.93)μg/L, higher than (1.97±0.56)μg/L of the non-infection group; the level of TNF-α of the infection group was (4.73±1.45)μg/L, higher than (2.34±0.31)μg/L of the non-infection group.The level of IL-10 of the infection group was (1.62±0.40)μg/L, lower than (1.32±0.21)μg/L of the non-infection group.The length of hospital stay of the infection group was (14.92±2.93)days, longer than (4.39±1.27)days of the non-infection group.The hospitalization cost of the infection group was (11283.76±111.92) yuan, more than (4182.34±89.02) yuan of the non-infection group(P<0.05).CONCLUSION The maternal intrauterine infections may result in the increase of incidence of brain damage of the preterm children, and the abnormal levels of cytokines occur, which leads to the increase of cost of clinical treatment.

     

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