血清维生素D水平与产褥感染的相关性研究

目的检测揭西地区孕晚期女性血清25-(OH)D含量,分析其与产褥感染的相关性。方法对2011年5月～2011年12月笔者所在医院住院分娩的正常产妇600例血清25-(OH)D含量进行检测,并统计相关一般性临床资料和产褥感染率及产褥病率进行相关性分析。结果揭西地区孕晚期女性血清25-(OH)D含量为(75.08±16.71)nmol/L,高于当前的低维生素-D诊断共识(50nmol/L)。高VitD组与低VitD组比较年龄,孕产次,分娩方式,手术操作率,产褥感染率均无显著差异,但产褥感染绝对数明显升高(1/5)产褥病率在低VitD组较高VitD组显著升高(P<0.05)。结论高维生素D水平可能对产后预防感染具有重要意义,建议临床针对低VitD孕妇补充维生素D。

Relation of serum level of vitamin D and puerperal infection

Objective The aim of this study is to observe the serum level of vitamin D in Jiexi District,and to analyze the relationship of vitamin D level with postpartum infection.Methods Between May 2011 and December 2011,600 patients with normal full-term pregnancy in our department were enrolled in the study.The serum level of vitamin D was tested and the data of labor outcome were collected.Results The average serum level of vitamin D in Jiexi District was(75.08±16.71) nmol/L,which was a little higher than the deficient criteria.The group of low vitamin D had much higher puerperal morbidity rate than the group of high vitamin D(P < 0.05).Same trend happened in puerperal infection too,although non statistical difference.Conclusion Sufficient vitamin D is important for preventing puerperal infection,and a supplement of vitamin D during pregnancy might be necessary.