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目的探讨顺产分娩预防应用抗生素的临床应用价值。方法 240例顺产分娩并行会阴切开缝合术的初产妇,随机分为试验组(顺产分娩后不预防应用抗生素)和对照组(顺产分娩后预防应用抗生素),每组120例。比较两组会阴切口愈合及产褥感染情况。结果两组均无会阴切口愈合不良及产褥感染,各项指标比较差异无统计学意义(P>0.05)。结论对于正常阴道分娩并行会阴切开缝合术的产妇,如分娩前无合并感染、无合并全身性疾病及分娩并发症,产后可以不预防应用抗生素。
Objective To investigate the clinical value of prophylactic antibiotics in the delivery of labor. Methods A total of 240 primiparous women who underwent simultaneous perineal incision and perineal incision suture were randomly divided into experimental group (no prophylaxis with antibiotics after birth) and control group (with prophylactic antibiotics after birth delivery), with 120 cases in each group. The perineal incision healing and puerperal infection were compared between the two groups. Results There was no episode of perineal incision healing and puerperal infection in both groups. There was no significant difference between the two indexes (P> 0.05). Conclusions For normal vaginal delivery of perineal incision suturing women, such as no pre-delivery infection, no systemic disease and childbirth complications, postpartum can not prevent the application of antibiotics.