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目的:探讨持续质量改进(CQl)在降低初产妇会阴侧切率中的应用效果,为制定护理措施和质量控制指标提供依据。方法:成立质量改进小组,以回顾分析的方法对2009年3～12月分娩的250例初产妇(第一组)会阴侧切率及原因进行统计和分析,并与2010年1～6月持续质量改进后分娩的250例初产妇(第二组)会阴侧切率进行比较。结果:会阴侧切率由改进前84.8%降为改进后50.0%,差异有统计学意义(P<0.05),改进前后会阴Ⅲ°裂伤及新生儿产伤发生率差异无统计学意义(P>0.05)。结论:通过对服务理念、助产技术和管理制度等方面采取相应的干预措施后,可显著降低初产妇会阴侧切率,同时并未增加会阴Ⅲ°裂伤及新生儿产伤发生率,从而有效促进产妇生殖健康。
Objective: To investigate the effect of continuous quality improvement (CQl) in reducing the rate of perineum lateral cleavage in primipara and to provide basis for establishing nursing measures and quality control index. Methods: A quality improvement team was set up to retrospectively analyze and analyze the episiotomy rate and causes of 250 episodes of primipara (first group) from March to December in 2009, and compared with the continuous mass 250 cases of improved delivery of primipara (second group) perineal lateral cut rate for comparison. Results: The rate of episiotomy in the episiotomy decreased from 84.8% before improvement to 50.0% after improvement, the difference was statistically significant (P <0.05). There was no significant difference in the incidence of perineal Ⅲ ° laceration and neonatal birth injury before and after the improvement (P> 0.05). CONCLUSIONS: Through appropriate interventions on service concept, midwifery techniques and management system, it can significantly reduce the rate of perineal episiotomy in primipara and increase the incidence of perineal Ⅲ ° laceration and neonatal birth trauma, which is effective Promote maternal reproductive health.