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1、品管圈活动在降低基层医院初产妇会阴侧切率中的效果评价四川省都江堰市妇幼保健院护理部四川都江堰611830作者简介：雷玉彬（1970.04.28）女都江堰副主任护师大专护理部主任;单位：都江堰市妇幼保健院；【摘要】目的：探讨在基层医院产房开展品管圈（qualitycontrolcircle,QCC）活动对降低初产妇会阴侧切率，提高助产质量的效果评价。方法：采用便利抽样法将按照常规助产方法（2014年1月-12月）在我院行阴道分娩的600例初产妇作为对照组，将实施品管圈（达标圈）后（2015年1月-12月）行阴道分娩的600例初产妇作为观
2、察组，对活动前会阴侧切率较高的原因进行分析，针对主要原因制定对策并实施，采用无保护会阴接生，比较两组产妇的会阴侧切率、会阴裂伤程度、会阴伤门愈合不良发生率、产后尿潴留发生率、新生儿窒息发生率、新生儿产伤发生率等指标。结果：观察组会阴侧切率由81.3%降至41.2%,会阴I°裂伤率、会阴Il°裂伤率、会阴伤口愈合不良发生率、产后鉍潴留发生率、产后出血量、新生儿窒息率、新生儿产伤发生率均明显低于对照组，会阴无裂伤率明显高于对照组，差异均有统计学意义（P<0.05）。结论：幵展品管圈活动不仅可以降低会阴侧切率，还能提高助产质
3、量。【关键词】品管圈；会阴侧切；无保护会阴接生；助产质量【屮图分类号】R271.1【文献标识码】A【文章编号】1001-5213（2016）09-0261-02[Abstract]Objective:Toexploreattheservetheapplicationeffectofone-to-onemidwiferyaccompanychildbirthLeiyu-binNursingDepartmentofMaternalandChildren’sHealthHospitalofDujiangyanCity,Sichu
4、anChina611830grassrootslevelhospitalroomtocarryoutthequalitycontrolcircle(qualitycontrolcircle,QCC)toreducetheprimiparaperinealresectionrate,improvetheeffectevaluationofthequalityofmidwifery.Methods:usingconveniencesamplingmethodwillbeinaccordancewiththeroutineobstetric
5、method(2014January-December)inourhospitalunderwentvaginaldeliveryof600casesofprimiparaascontrolgroup,theimplementationofqualitycontrolcircle(standardcircle)after2015January-December),vaginaldeliveryof600casesofprimiparaastheobservationgroup,ontheactivitiesofperinealside
6、tocutahigherrateanalysis,inviewofthemainreasonstodevelopstrategiesandimplementationoftheprotectionofperineumbirth,comparedwithtwogroupsofmaternalperinealsidetocutrate,perineallaceration,perinealwoundhealingrate,postpartumurineretentionrate,neonatalasphyxiarate,neonatalb
7、irthinjuryrateindex.Results:observationgroupofperinealsideofthecuttingratedecreasedfrom81.3%to41.2%,Ilacerationrate,rateofperinealseconddegreelaceration,perinealwoundhealingadverseoccurrencerate,postpartumretentionofurine,theincidenceofpostpartumbleeding,neonatalasphyxi
8、a,neonatalbirthinjuryincidenceweresignificantlylowerthanthoseofthecontrolgroup,theperineumwithoutruptureratewa
