中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2013年
2期
223-224
,共2页
胎膜早破%分娩结局%抗生素
胎膜早破%分娩結跼%抗生素
태막조파%분면결국%항생소
Premature rupture of membranes%Delivery outcome%Antibiotics
目的 探讨胎膜早破发生后抗生素使用时间与分娩结局之间的关系及抗生素使用对分娩结局的影响.方法 选取住院分娩的474例胎膜早破产妇作为研究对象,根据胎膜早破时间分组,其中在破水后12h之内者分为A组,共284例,随机分为A1组与A2组,分别为142例；在破水后12 ～24 h之内者为B组,共120例；破水后24h后者为C组,共70例.A2组、B组、C组均给与抗生素静脉滴注,A1组不给予静脉滴注,观察妊娠结局.结果 B组与A组、C组与A组分娩方式、胎儿宫内窘迫、新生儿窒息、绒毛膜羊膜炎发生率差异均有统计学意义(均P＜0.05)；A2组与A1组分娩方式、胎儿宫内窘迫、新生儿窒息、绒毛膜羊膜炎发生率差异均无统计学意义(均P＞0.05).结论 破水12 h之内产妇如无明确证据证明有感染的情况下可以不使用抗生素,是否使用抗生素并不影响分娩结局.
目的 探討胎膜早破髮生後抗生素使用時間與分娩結跼之間的關繫及抗生素使用對分娩結跼的影響.方法 選取住院分娩的474例胎膜早破產婦作為研究對象,根據胎膜早破時間分組,其中在破水後12h之內者分為A組,共284例,隨機分為A1組與A2組,分彆為142例；在破水後12 ～24 h之內者為B組,共120例；破水後24h後者為C組,共70例.A2組、B組、C組均給與抗生素靜脈滴註,A1組不給予靜脈滴註,觀察妊娠結跼.結果 B組與A組、C組與A組分娩方式、胎兒宮內窘迫、新生兒窒息、絨毛膜羊膜炎髮生率差異均有統計學意義(均P＜0.05)；A2組與A1組分娩方式、胎兒宮內窘迫、新生兒窒息、絨毛膜羊膜炎髮生率差異均無統計學意義(均P＞0.05).結論 破水12 h之內產婦如無明確證據證明有感染的情況下可以不使用抗生素,是否使用抗生素併不影響分娩結跼.
목적 탐토태막조파발생후항생소사용시간여분면결국지간적관계급항생소사용대분면결국적영향.방법 선취주원분면적474례태막조파산부작위연구대상,근거태막조파시간분조,기중재파수후12h지내자분위A조,공284례,수궤분위A1조여A2조,분별위142례；재파수후12 ～24 h지내자위B조,공120례；파수후24h후자위C조,공70례.A2조、B조、C조균급여항생소정맥적주,A1조불급여정맥적주,관찰임신결국.결과 B조여A조、C조여A조분면방식、태인궁내군박、신생인질식、융모막양막염발생솔차이균유통계학의의(균P＜0.05)；A2조여A1조분면방식、태인궁내군박、신생인질식、융모막양막염발생솔차이균무통계학의의(균P＞0.05).결론 파수12 h지내산부여무명학증거증명유감염적정황하가이불사용항생소,시부사용항생소병불영향분면결국.
Objective To explore the relationship between antibiotic application time and delivery outcome after the premature rupture of membranes,and to explore the effect of using antibiotics to delivery outcome.Methods 474 premature rupture of fetal membranes parturient who deliver in our desk work were selected as study objects.According to the time of premature rupture of membranes,the patients were dividwd into groups.The patients that bear children within 12h after the membrane rupture are divided into A group.A group had 284 cases and they were randomly divided into two groups,A1 group and A2 group,both of which had 142 cases.The patients that beared children within 12 ～ 24h after the membrane rupture were divided into B group.B group had 120 cases.The patients that beared children 24h after the membrane rupture were divided into C group.C group had 70 cases.A2 group,B group and C group were all given antibiotic intravenous infusion,A1 group was not given that.The pregnancy outcome was observed.Results B group and A group,C group and A group had significant differences in the mode of delivery,fetal distress,neonatal asphyxia,chorioamnionitis incidence (all P ＜ 0.05).A2 group and A1 group had no significant differences in the mode of delivery,fetal distress,neonatal asphyxia,chorioamnionitis incidence (all P ＞ 0.05).Conclusion If there are clear evidence which can prove maternal have infected within 12h after the membrane rupture,we can choose not to use antibiotics.And whether using antibiotics or not can not affect the delivery outcome.
