胎儿未足月产妇胎膜早破应用抗菌药物 时间对妊娠结局的影响
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姜凡,女,主治医师,主要研究方向是产科方面。

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R 714.43+ 3

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Effect of Application Time of Antibiotics on Pregnancy Outcome of Premature Rupture of Membranes in Preterm Parturients
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    摘要:

    摘 要目的:研究胎儿未足月产妇胎膜早破应用抗菌药物时间对妊娠结局的影响。 方法:选取 2018 年 10 月至 2019 年 10月期间洛阳东方医院收治的72例胎儿未足月胎膜早破产妇,根据抗菌药物应用时间分为Ⅰ组、Ⅱ组和Ⅲ组,三组均为24例。 Ⅰ 组、Ⅱ 组和 Ⅲ 组分别于胎膜破裂后 12 h 内、12 ~ 24 h、超过 24 h 应用抗菌药物头孢唑林钠,均持续用药 3 d。比较三组 的临床疗效。 结果:Ⅰ 组产妇自入院至分娩时间为(62.76 ± 4.97)h,Ⅱ 组为(58.04 ± 4.53)h,Ⅲ 组为(53.41 ± 4.74)h, Ⅰ 组时间均显著长于 Ⅱ 组和 Ⅲ 组,差异具有统计学意义(P < 0.05);Ⅰ 组产妇产后出血发生率、宫内感染发生率和产褥感 染发生率均显著低于 Ⅱ 组和 Ⅲ 组,差异具有统计学意义(P < 0.05);Ⅰ 组新生儿健康状况 Apgar 评分为(8.27 ± 0.44)分, Ⅱ 组评分为(7.80 ± 0.42)分,Ⅲ 组为(7.64 ± 0.40)分,Ⅰ 组评分均显著高于 Ⅱ 组和 Ⅲ 组,差异具有统计学意义(P < 0.05)。 结论:胎儿未足月产妇胎膜早破后越早应用抗菌药物治疗,对妊娠结局产生的影响越小。

    Abstract:

    AbstractObjective To analyze and study the influence of application time of antibacterial drugs on premature rupture of membranes in preterm parturients. Methods A total of 72 premature parturients with premature fetal membranes admitted to Luoyang Dongfang Hospital from October 2018 to October 2019 were selected and divided into group I, group II and group III according to the application time of antimicrobial drugs. All three groups were 24 example. Groups Ⅰ, Ⅱ and Ⅲ were respectively treated with the antibacterial drug cefazolin sodium within 12 hours, 12-24 hours, and more than 24 hours after fetal membrane rupture, and the medication was continued for 3 days. Compare the clinical efficacy of the three groups. Results The time from admission to delivery in group I was (62.76 ± 4.97) h, the time in group II was (58.04 ± 4.53) h, and the time in group III was (53.41 ± 4.74) h. The time in group I was significantly longer than those in groups II and III. The difference was statistically significant (P < 0.05); The incidence of postpartum hemorrhage, intrauterine infection and puerperal infection in group Ⅰ were significantly lower than those in groups Ⅱ and Ⅲ, and the differences were statistically significant (P < 0.05) The Apgar score for the health status of the newborns in group Ⅰ was (8.27 ± 0.44), the Apgarscore in group Ⅱ was scored (7.80 ± 0.42), and the Apgarscore in group Ⅲ was (7.64 ± 0.40). The score in group Ⅰ were significantly higher than those in groups Ⅱ and Ⅲ , the difference was statistically significant (P < 0.05). Conclusion Early application of antimicrobial therapy after premature rupture of membranes in preterm women has less impact on pregnancy outcome.

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  • 收稿日期:2021-08-11
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  • 在线发布日期: 2023-06-29
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