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目的探讨应用品管圈降低在hand off(不保护会阴)接生中会阴侧切率的效果。方法将2015年开始采用品管圈活动后1年中自然分娩的3563产妇作为研究组,将2014年未采取品管圈活动的3031例自然分娩产妇作为对照组,研究组成立品管圈小组,确定活动主题,制定活动计划,分析hand off接生中产妇会阴侧切的原因及影响因素,制定目标及整改措施。比较2组产妇会阴侧切率及肛门括约肌损伤情况。结果对照组产妇会阴侧切率为21.31%,研究组产妇会阴侧切率下降至10.97%,2组比较差异有统计学意义(P<0.05)。结论品管圈活动可分析hand off接产中会阴侧切的真因,通过活动提出针对性整改措施,可有效降低产妇会阴侧切率,但并未增加肛门括约肌损伤的发生率,该方法减轻了产妇的痛苦,提高妇女生活质量。
Objective To investigate the effect of application of a collar on reduction of episiotomy in the hand off (unprotected perineum). Methods A total of 3563 pregnant women who delivered spontaneously during the first year after QCC activities were adopted as research groups in 2015 and 3031 spontaneous mothers who did not take QC activities in 2014 as control group. Determine the theme of the activity, develop an activity plan, analyze the causes and influencing factors of the episiotomy in the hand off midwife, set goals and rectification measures. The incidence of episiotomy and anal sphincter injury in two groups were compared. Results The rate of perineum lateralization in the control group was 21.31%. The rate of perineum lateralization in the study group was reduced to 10.97%. The difference between the two groups was statistically significant (P <0.05). Conclusions Quality control ring activities can analyze the cause of episiotomy episiotomy in hand off. Proposed corrective measures can effectively reduce the incidence of perineal excision but do not increase the incidence of anal sphincter injury. The pain, improve women’s quality of life.