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孕产妇围分娩期预防性使用抗菌药物的专家共识
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| 篇名： | 孕产妇围分娩期预防性使用抗菌药物的专家共识 |
| TITLE： | Expert consensus on prophylactic use of antibiotics for pregnant women during peripartum period |
| 摘要： | 目的 规范孕产妇围分娩期抗菌药物预防性使用，减少抗菌药物不合理使用。方法由中国优生科学协会发起、陆军军医大学第一附属医院牵头，联合国内多家医疗机构临床、药学及循证医学专家，通过收集相关问题，结合国家指导性文件、指南及专家共识、文献，针对孕产妇围分娩期特点，分层制定孕产妇围分娩期预防性使用抗菌药物方案推荐意见。结果与结论共形成了13条共识意见，涉及经阴道分娩、剖宫产术分娩以及有相关并发症/合并症（如肥胖、糖代谢异常、合并自身免疫性疾病等）的孕产妇在分娩前、分娩中及分娩后预防性使用抗菌药物的方案。但降低孕产妇总体感染风险，预防性使用抗菌药物只是其中的一项措施，医护人员仍然必须重视操作时严格消毒、规范灭菌，并严格落实孕产妇营养均衡、血糖合理管控等综合措施。 |
| ABSTRACT： | OBJECTIVE To standardize the prophylactic use of antibiotics for pregnant women during peripartum and reduce the irrational use of antibiotics. METHODS Initiated by the Chinese Eugenics Science Association， and led by the First Affiliated Hospital of the Army Military Medical University， clinical， pharmaceutical and evidence-based medicine experts from some domestic medical institutions jointly developed a tiered program of prophylactic use of antibiotics during the peripartum period aiming at the characteristics of pregnant women during the peripartum period by collecting relevant issues， combining national guiding documents， guidelines， expert consensus and literature. RESULTS & CONCLUSIONS A total of 13 consensus opinions were formed on antibiotic regimens for prophylactic use before， during and after delivery for vaginal delivery， cesarean delivery and for pregnant women with related complications or comorbidities（such as obesity， abnormal glucose metabolism， combined autoimmune diseases， etc.）. However， to reduce the overall risk of infection in pregnant women， prophylactic use of antibiotics is just one of the measures. Medical staff must still pay attention to strict disinfection and standard sterilization， and strictly implement balanced nutrition， reasonable control of blood sugar of pregnant women and other comprehensive measures. |
| 期刊： | 2025年第36卷第02期 |
| 作者： | 中国优生科学协会 |
| AUTHORS： | Chinese Eugenics Science Association |
| 关键字： | 孕产妇；围分娩期；抗菌药物；预防用药；感染；合理用药 |
| KEYWORDS： | pregnant women；peripartum period； antibiotics； prophylactic use； infection； rational drug use |
| 阅读数： | 14 次 |
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