中国感染控制杂志
中國感染控製雜誌
중국감염공제잡지
CHINESE JOURNAL OF INFECTION CONTROL
2014年
10期
619-621
,共3页
手卫生%外科手消毒%干预%会阴切口%切口感染%产妇%医院感染
手衛生%外科手消毒%榦預%會陰切口%切口感染%產婦%醫院感染
수위생%외과수소독%간예%회음절구%절구감염%산부%의원감염
hand hygiene%surgical hand disinfection%intervention%perineal incision%incisional wound infection%parturient%healthcare-associated infection
目的：了解助产人员外科手消毒合格率与产妇会阴切口感染情况,为降低会阴侧切切口感染提供参考依据。方法收集某院2012年1月-2013年12月产科自然分娩的患者资料7148份,其中2012年1-12月未对助产人员外科手消毒进行干预的3569例病例设为对照组；2013年1-12月对助产人员外科手消毒进行干预的3579例病例设为干预组,比较两组患者会阴侧切切口感染情况及助产人员手卫生合格率。结果对照组和干预组在产妇年龄、体重指数、基础疾病、阴道产检次数、分娩季节、产程、缝合人员工作年限、预防使用抗菌药物和新生儿体重等方面比较,差异无统计学意义(均P>0.05)。助产人员外科手消毒方法合格率由干预前的19.31%(689例)上升至干预后的71.03%(2542例),两组比较,差异具有统计学意义(χ2=752.58,P<0.05)。干预组产妇会阴侧切切口感染率为0.28%(10/3579),低于干预前的0.81%(29/3569),两组比较,差异有统计学意义(χ2=9.36,P<0.05)。结论提高助产人员手卫生合格率,可降低产妇会阴侧切切口感染率。
目的：瞭解助產人員外科手消毒閤格率與產婦會陰切口感染情況,為降低會陰側切切口感染提供參攷依據。方法收集某院2012年1月-2013年12月產科自然分娩的患者資料7148份,其中2012年1-12月未對助產人員外科手消毒進行榦預的3569例病例設為對照組；2013年1-12月對助產人員外科手消毒進行榦預的3579例病例設為榦預組,比較兩組患者會陰側切切口感染情況及助產人員手衛生閤格率。結果對照組和榦預組在產婦年齡、體重指數、基礎疾病、陰道產檢次數、分娩季節、產程、縫閤人員工作年限、預防使用抗菌藥物和新生兒體重等方麵比較,差異無統計學意義(均P>0.05)。助產人員外科手消毒方法閤格率由榦預前的19.31%(689例)上升至榦預後的71.03%(2542例),兩組比較,差異具有統計學意義(χ2=752.58,P<0.05)。榦預組產婦會陰側切切口感染率為0.28%(10/3579),低于榦預前的0.81%(29/3569),兩組比較,差異有統計學意義(χ2=9.36,P<0.05)。結論提高助產人員手衛生閤格率,可降低產婦會陰側切切口感染率。
목적：료해조산인원외과수소독합격솔여산부회음절구감염정황,위강저회음측절절구감염제공삼고의거。방법수집모원2012년1월-2013년12월산과자연분면적환자자료7148빈,기중2012년1-12월미대조산인원외과수소독진행간예적3569례병례설위대조조；2013년1-12월대조산인원외과수소독진행간예적3579례병례설위간예조,비교량조환자회음측절절구감염정황급조산인원수위생합격솔。결과대조조화간예조재산부년령、체중지수、기출질병、음도산검차수、분면계절、산정、봉합인원공작년한、예방사용항균약물화신생인체중등방면비교,차이무통계학의의(균P>0.05)。조산인원외과수소독방법합격솔유간예전적19.31%(689례)상승지간예후적71.03%(2542례),량조비교,차이구유통계학의의(χ2=752.58,P<0.05)。간예조산부회음측절절구감염솔위0.28%(10/3579),저우간예전적0.81%(29/3569),량조비교,차이유통계학의의(χ2=9.36,P<0.05)。결론제고조산인원수위생합격솔,가강저산부회음측절절구감염솔。
Objective To investigate the qualified rate of midwives’surgical hand disinfection and perineal in-cisional infection in parturients,so as to provide reference for reducing perineal incisional infection.Methods Data of 7 148 women who delivered naturally in an obstetrics department between January 2012 and December 2013 were collected,3 569 midwives who weren’t intervened in surgical hand disinfection between January and December 2012 were as control group,and 3 579 midwives who were intervened between January and December 2013 were as intervention group,the perineal incisional infection rate of parturients and qualified rate of midwives’hand hygiene of two groups were compared.Results There were no significant difference in maternal age,body mass index,un-derlying diseases,No.of vaginal delivery examination,delivery season,delivery lasting time,incision suture tech-nique,antimicrobial prophylaxis,and neonatal weight between intervention group and control group (all P>0.05). The qualified rate of midwives’surgical hand disinfection method increased from 19.31%(n=689)before interven-tion to 71.03%(n=2 542)after intervention,the difference was significant between two groups(χ2=752.58,P<0.05).Perineal incisional infection rate in intervention group was significantly lower than control group ([(0.28%, 10/3 579]vs [0.81%,29/3 569]),there was significant difference between two groups (χ2=9.36,P<0.05). Conclusion The improvement of qualified rate of midwives’hand hygiene can reduce perineal incisional infection rate of parturients.
