首页|抗菌药物在B族链球菌感染妊娠晚期中的临床疗效

抗菌药物在B族链球菌感染妊娠晚期中的临床疗效

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目的 探究抗菌药物干预对B族链球菌感染妊娠晚期凝血功能及母婴结局的影响。方法 选取本院从2019年1月—2020年11月收治的66例B族链球菌感染妊娠晚期患者为研究对象,将所有患者分为对照组与观察组,每组33例,对照组采用复方氯化钠治疗,观察组胎膜破裂或临产后使用青霉素钠治疗,观察两组凝血功能、母婴结局。结果 治疗后,观察组血浆凝血原时间(PT)、国际标准化比率(INR)、活化部分凝血活酶时间(APTT)指标明显高于对照组,且纤维蛋白原(FIB)指标明显低于对照组(P<0。05);观察组的剖宫产、胎儿窘迫等妊娠结局明显低于对照组(P<0。05);观察组发生上呼吸道感染例数比对照组更少,数据差异明显(P<0。05)。结论 B族链球菌感染妊娠晚期患者采用抗菌药物治疗,可显著提高凝血功能,母婴结局良好,临床应用效果显著。
Clinical Effect of Antibiotics for Group B Streptococcal Infection at Late Pregnancy
Objective To investigate effect of antimicrobial intervention on coagulation function and maternal and infant outcomes of group B streptococcal infection at late pregnancy.Methods The paper chose 66 patients with group B streptococcal infection at late pregnancy admitted to our hospital from January 2019 to November 2020 as study subjects,and divided them into control group and observation group,with 33 cases in each group.Control group was treated with compound sodium chloride,while observation group with penicillin sodium after fetal membrane rupture or labor.Coagulation function and maternal and infant outcomes were observed between two groups.Results After treatment,plasma coagulation time(PT),international standardized ratio(INR),and activated partial thromboplastin time(APTT)in observation group was significantly higher than control group,fibrinogen(FIB)index was significantly lower than control group(P<0.05).Pregnancy outcomes including cesarean section and fetal distress in observation group were significantly lower than control group(P<0.05).Observation group had fewer cases of upper respiratory tract infections than control group,data difference was significant(P<0.05).Conclusion Antibiotics can significantly improve coagulation function,achieve good maternal and infant outcomes,and have significant clinical application effect for patients with Group B streptococcal infection at late pregnancy.

AntibioticsGroup B streptococcal infection at late pregnancyCoagulation functionMaternal and infant outcomes

孙丽华、邱柳媛

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大埔县妇幼保健计划生育服务中心 检验科,广东 梅州 514299

抗菌药物 B族链球菌感染妊娠晚期 凝血功能 母婴结局

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(1)
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