$re = '/(\d\W+)(h\.?s\.?\s+)?a\s+m\b/m';
$str = '5 a m
5: a m
5: hs a m
5: h.s. a m
5: h.s a m
5: hs. a m
5: a m
5 : hs a m
5 : h.s. a m
5 : h.s a m
5 : hs. a m
5 hs a m
5 h.s. a m
5 h.s a m
5 hs. a m
Cerca de las 2: hs a m, hay que salir antes de esas hs a m
A medida que avance cerca de la media noche 12: 04 hs a m. Deben ir a las 15 hs a m.
A mmm... cerca de las 12: h.s a m, hay que salir antes de esas h.s. a m
A medida que avance cerca de las 12:04 hs. a m. Deben ir alas 15 h.s a m.';
$subst = "\1\2am";
$result = preg_replace($re, $subst, $str);
echo "The result of the substitution is ".$result;
Please keep in mind that these code samples are automatically generated and are not guaranteed to work. If you find any syntax errors, feel free to submit a bug report. For a full regex reference for PHP, please visit: http://php.net/manual/en/ref.pcre.php