摘要
对６８例胎膜早破、临产后破膜及胎膜未破的孕产妇，在剖宫产术中取羊水及脐血作厌氧菌培养。结果：普通培养（＋）１５例次，厌氧培养（＋）２０例次，阳性结果在胎膜早破组和临产破膜组比较无明显差异（Ｐ＞０．０５）；两破膜组与胎膜未破组比较有显著差异（Ｐ＜０．００１）；感染组与非感染组比较，前者破膜距手术时间较后者明显延长（Ｐ＜０．００１）。胎膜未破组也有阳性结果出现。认为：①产科感染中厌氧菌感染占半数以上；②破膜后应尽快结束分娩可减少感染；③剖宫产术后可酌情应用抗生素和甲硝唑。
Objective:To determine the
correlation between the obstetrical infection and the rupture of
fetal membranes.Design:Anaerobic culture was performed in amniotic
fluid and umbilical cord blood in 68 labour women (including 18 cases
of premature rupture of fetal membranes,19 parturient rupture and 31
unrupture).Results:The results showed that 15 cases were positive in
ordinary culture and 20 in anaerobic culture.There was not
significant difference between the positive result of parturient
rupture group and premature rupture group(P<0.005).Positive results
of the two ruptured groups were much higher than that of the
unruptured group(P<0.01).The duration from the rupture of fetal
membrane to operation in infective group was much longer than that in
the uninfective group(P<0.001).Conclusion:(1)Pregnancy should be
terminated as soon as possible after the rupture of fetal membrane to
reduce the infection;(2)Anaerobic infection accounts for 50% or more
in obstetrical infection;(3)Antibiotics and metronidazoli should be
used in cesarean section to avoid infection \ \
出处
《中国实用妇科与产科杂志》
CAS
CSCD
1996年第5期283-284,共2页
Chinese Journal of Practical Gynecology and Obstetrics
关键词
厌氧菌培养
宫腔感染
胎膜破裂
羊水
脐血
Anaerobic
culture\ \ Intrauterine infection\ \ Cesarean section
