1目的　了解与新生儿接触密切的产妇乳头和手的带菌情况。2方法　随机抽取母婴同室哺乳期产妇 46例 ,对其双侧乳头部位 (2 5 cm2 )的皮肤和双手带菌情况进行检测 ,并与湿纸巾 (含 1g/ L 氯己定 )擦拭消毒后、温水和肥皂清洗后的检测结果进行比较。3结果　消毒、清洁前 92份样本的合格率仅为 3.2 6 % ,消毒后合格率为 79.34 % ,清洁后合格率为 97.82 % .消毒、清洁后合格率与消毒、清洁前比较 ,差异均有极显著性 (χ2 =10 9.86 ,16 4.6 2 ,P均 <0 .0 1) ;清洁后总合格率与消毒后比较 ,差异有显著性 (χ2 =15 .5 3,P<0 .0 1)。4结论　温水和肥皂清洁可降低产妇乳头部位和双手的带菌率。 1 Objective To understand the close contact with the newborn maternal nipples and hand-carrying situation. METHODS: Forty-six maternal mothers of the same room during lactation were randomly selected to test the skin and hands carried by the nipple (25 cm 2) on both sides of the skin. After wiping with a damp tissue (containing 1 g / L chlorhexidine) Warm water and soap after cleaning test results were compared. 3 results disinfection, 92 samples before cleaning pass rate was only 3.2 6%, after disinfection pass rate of 79.34%, after cleaning pass rate of 97.82%. Disinfection, cleaning and pass rate after disinfection, cleaning before the difference was (Χ2 = 10 9.86, 16 4.6 2, P <0.01). After cleaning, the overall pass rate was significantly different from that after disinfection (χ2 = 15.53, P <0.01) ). 4 Conclusion Warm water and soap clean can reduce the maternal nipple area and hands carrying rate.