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目的：探讨Ｃ－ 反应蛋白诊断急性绒毛膜羊膜炎的价值。方法：收集了７０ 例胎膜早破病例，用比浊法测定孕妇血清Ｃ－ 反应蛋白，胎盘脐带作病理检查，以病理绒毛膜羊膜炎为诊断金标准。结果：病理急性绒毛膜羊膜炎发生率为７４ ．２％ ，其中８．５７％ 为临床绒毛膜羊膜炎。以Ｃ－ 反应蛋白≥１２ ．５ｍｇ／Ｌ 为异常，诊断急性绒毛膜羊膜炎的敏感性为９４ ．２３％ ，特异性为７２ ．２２ ％ 。Ｃ－ 反应蛋白值越高其病理分级相应高。结论：Ｃ反应蛋白的测定能早期诊断急性绒毛膜羊膜炎。
Objective: To investigate the value of C-reactive protein in the diagnosis of acute chorioamnionitis. Methods: Seventy cases of premature rupture of membranes were collected. The serum levels of C-reactive protein and placenta umbilical cord were measured by turbidimetric method. The pathological chorioamnionitis was the gold standard for diagnosis. Results: The incidence of acute chorioamnionitis was 74. 2%, of which 8.57% for clinical chorioamnionitis. With C-reactive protein ≥ 12. 5mg / L is abnormal, the sensitivity of diagnosis of acute chorioamnionitis is 94. 23%, specificity of 72. 22%. The higher the C-reactive protein value, the higher the pathological grade. Conclusion: The determination of C-reactive protein can diagnose acute chorioamnionitis early.