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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。
68 cases of premature rupture of membranes, rupture of membranes after labor and unmarried pregnant women in the cesarean section to take amniotic fluid and cord blood for anaerobic culture. Results: There were no significant differences in 15 cases of normal culture (+) and 20 cases of anaerobic culture (+) in the group of premature rupture of membranes and labor rupture of membranes (P> 0.05) (P <0.001). Compared with non-infected group, the former time of rupture of membrane was significantly longer than the latter (P <0.001). Membrane unruptured group also have positive results appear. That: ① obstetric infection in anaerobic infections accounted for more than half; ② rupture of membranes should be completed as soon as possible after delivery can reduce infection; ③ cesarean section after the appropriate use of antibiotics and metronidazole.