CAJ | 학술논문

目的确定产前备皮时是否需要剃除阴毛.方法开展临床对照研究,将2003-2006年经阴道分娩产前剃除阴毛的产妇336例作为对照组,以目前待产的产妇103例作为实验组.实验组产前备皮时只清洁会阴,不剃除阴毛,如需要行会阴切开术,在术前用剪刀将手术区阴毛剪短.比较2组会阴感染率及产褥感染率.并通过访谈了解2组产妇对此措施的主观感受.计算备皮剃除阴毛时所用护理时间.结果实验组会阴感染率为5.8%,对照组会阴感染率为2.4%,2组比较差异无统计学意义(U=0.33,P＞0.05),2组均无产褥感染.实验组95%产妇及家属支持这项措施,认为更人性化.在对对照组产妇的电话随访中,有大部分产妇诉说阴毛再生过程中感到很痒和不舒适,对我们的改进表示支持.剃除阴毛所需平均护理时问为(4.6±0.6)min.结论产前备皮时不剃除阴毛是可行的.如需要会阴切开时毛发妨碍手术操作,可在术前用剪刀剪短,可有效减少皮肤感染机会,减少血源性传染病的传播机会,增加孕妇的舒适感,并节约了宝贵的护理时间,是更人性化的护理方式.
목적 학정산전비피시시부수요체제음모.방법 개전림상대조연구,장2003-2006년경음도분면산전체제음모적산부336례작위대조조,이목전대산적산부103례작위실험조.실험조산전비피시지청길회음,불체제음모,여수요행회음절개술,재술전용전도장수술구음모전단.비교2조회음감염솔급산욕감염솔.병통과방담료해2조산부대차조시적주관감수.계산비피체제음모시소용호리시간.결과 실험조회음감염솔위5.8%,대조조회음감염솔위2.4%,2조비교차이무통계학의의(U=0.33,P＞0.05),2조균무산욕감염.실험조95%산부급가속지지저항조시,인위경인성화.재대대조조산부적전화수방중,유대부분산부소설음모재생과정중감도흔양화불서괄,대아문적개진표시지지.체제음모소수평균호리시문위(4.6±0.6)min.결론 산전비피시불체제음모시가행적.여수요회음절개시모발방애수술조작,가재술전용전도전단,가유효감소피부감염궤회,감소혈원성전염병적전파궤회,증가잉부적서괄감,병절약료보귀적호리시간,시경인성화적호리방식.
Objective To determine whether it is necessary to execute pre-labor pubic shaving.Methods Women(336 cases)who received pubic shaving through vaginal delivery from 2003 to 2006 were set as the control group.Women(103 cases)who were waiting for delivery currently in our hospital were set as the test group.The test group only received perineal cleaning without pubic shaving.If episiotomy was needed during the operation,the perineal hair Was cut by scissors.The perineum infectious rate and postpartal infection Was compared in the two groups.We interviewed the patients attitude for pubic shaving and counted the numing time used for pubic shaving.Results The perineal infection in the test group was 5.8%,which was no statistically different from that of the control group(2.4%),U=0.33,P＞0.05.Totally 95% women in the test group support this method demonstrated humanization.In the telephone folow-up visit for patients in the control group they comphined itch and discomfort during the regeneration of pubes.The average numing time for pubic shaving Was(4.6±0.6)minutes.Conclusions No pubic shaving for pre-labor skin preparation was feasible.If operation was disturbed by pubes we could use scissors to cut it short.This method could reduce the skin infection and propagation of blood-derived infectious disease.It increased the comfort of parturient,saved time and proved to be a nursing method of humanization.