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조기분만 시 조직학적 융모양막염 유무에 따른 혈청 C-반응성 단백질, 태반 내 interleukin-6, 지 질과산화도 및 단백산화도
윤대석 ( Dae Seok Yoon ),김윤하 ( Yoon Ha Kim ),김철홍 ( Chul Hong Kim ),조문경 ( Moon Kyoung Cho ),김종운 ( Jong Woon Kim ),조혜연 ( Hye Yon Cho ),김석모 ( Seok Mo Kim ),강우대 ( Woo Dae Kang ),이기호 ( Ki Ho Lee ),송태복 ( Tae B 대한산부인과학회 2011 Obstetrics & Gynecology Science Vol.54 No.1
Objective: To evaluate predictive value of maternal serum white blood cells (WBCs), C-reactive protein (CRP) levels, placental interleukin-6 (IL-6), lipid peroxide, and protein carbonyl levels in preterm birth according to histologic chorioamnionitis (HCA). Methods: This cohort study included 45 cases of preterm delivery with preterm labor and intact membranes (preterm labor [PTL] group; n=16) and preterm premature rupture of membranes (preterm premature rupture of membranes [PPROM] group; n=29). Blood samples at admission and placental sample at postpartum were collected. HCA was diagnosed in the presence of neutrophils infiltration into the subamnionic space. Results: The incidence of HCA was significantly higher in PPROM group than PTL group. Maternal serum WBC and CRP levels at admission, and placental IL-6, lipid peroxide, and protein carbonyl levels in HCA group were significantly higher than group without HCA. Maternal serum CRP levels at admission, and placental IL-6, lipid peroxide, and protein carbonyl levels of PPROM group with HCA were significantly higher than PPROM group without HCA. Maternal serum CRP levels at admission of 7 days and more latency period (n=14) were significantly lowered than those of less than 7 days latency period (n=15). The cut-off points of CRP determined with the receiver operating characteristic curves was 0.875 mg/dL. Perinatal morbidity such as respiratory distress syndrome, intraventricular hemorrhage, pneumonia in HCA group was significantly higher than group without HCA. Conclusion: Maternal serum CRP on admission may be possible a predictor for duration of the latency period in PPROM.