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近10年来,由于加强了产科监护和重视围产期药物对胎儿的影响,使剖腹产率上升至10%左右。同时,近年来由于细菌培养技术的改进,对无芽胞厌氧菌感染有所了解。Hirsch指出厌氧菌是妇产科感染最常见致病菌。作者曾报道妇科剖腹术时用灭滴灵(硝基咪唑)预防可显著减少术后感染。本文进一步研究在剖腹产时静脉给药对术后感染的影响。对象及方法:1979年8月~1980年4月维也纳大学第一妇产科医院对103例剖腹产妇女用灭滴灵预防作一前瞻性随机化研究。全部病例手术前后处
In the past 10 years, the caesarean section rate has risen to about 10% due to the strengthening of obstetric care and the emphasis on perinatal drugs on the fetus. In the meantime, due to the improvement of bacterial culture technology in recent years, there is an understanding of non-spore-forming anaerobic infections. Hirsch pointed out that anaerobic bacteria are the most common gynecological infections. The authors have reported that gynecological laparotomy with metronidazole (nitroimidazole) can significantly reduce postoperative infection prevention. This article further investigates the effect of intravenous administration on postoperative infection during caesarean section. Subjects and Methods: From August 1979 to April 1980, the First Obstetrics and Gynecology Hospital of Vienna University conducted a prospective randomized study on the prevention of metronidazole in 103 caesarean women. All cases before and after surgery