CAJ | 학술논문

目的：通过水样致病菌学监测，考察自制肛门套在降低分娩池水中细菌污染率的效果。方法将200例分娩前院内感染筛查结果阴性的水中分娩产妇，随机分为对照组和试验组各100例。对照组采用常规水中分娩方法，试验组在常规水中分娩的同时于肛门口佩戴自创肛门套。两组均于产妇完成第二产程后，产妇出分娩缸移到产床，于分娩缸排水口处取水20 ml作细菌培养。移新生儿于处理台，取咽拭子作细菌培养。观察新生儿体温、呼吸、脐部愈合情况；观测产妇体温，恶露量、气味、时间长短，会阴裂伤处愈合情况，于产后第3天分别对两组产妇及新生儿抽血行血常规和C反应蛋白测定。然后对母婴感染率、水样致病菌培养结果进行对比并统计学分析。结果试验组的水样本致病菌培养阳性率和菌落数均明显低于对照组(P<0.05)，但两组母婴感染率比较，差异无统计学意义( P>0.05)。两组致病菌培养共出现32例阳性，其中大肠杆菌30例，占93.75%；葡萄球菌2例，占6.25%。结论两组方法均可认为是安全的，但自创肛门套更优；自创肛门套可明显降低水中分娩池水细菌污染率，从而降低母婴感染的风险。
목적：통과수양치병균학감측，고찰자제항문투재강저분면지수중세균오염솔적효과。방법장200례분면전원내감염사사결과음성적수중분면산부，수궤분위대조조화시험조각100례。대조조채용상규수중분면방법，시험조재상규수중분면적동시우항문구패대자창항문투。량조균우산부완성제이산정후，산부출분면항이도산상，우분면항배수구처취수20 ml작세균배양。이신생인우처리태，취인식자작세균배양。관찰신생인체온、호흡、제부유합정황；관측산부체온，악로량、기미、시간장단，회음렬상처유합정황，우산후제3천분별대량조산부급신생인추혈행혈상규화C반응단백측정。연후대모영감염솔、수양치병균배양결과진행대비병통계학분석。결과시험조적수양본치병균배양양성솔화균락수균명현저우대조조(P<0.05)，단량조모영감염솔비교，차이무통계학의의( P>0.05)。량조치병균배양공출현32례양성，기중대장간균30례，점93.75%；포도구균2례，점6.25%。결론량조방법균가인위시안전적，단자창항문투경우；자창항문투가명현강저수중분면지수세균오염솔，종이강저모영감염적풍험。
Objective To explore the effect of homemade anus sleeve on reducing bacterial contamination rate of the birth pool by monitoring water pathogenic bacteria. Methods A total of 200 cases of water delivery women, whose in-hospital infection screening results were negative, were randomly divided into control group and experimental group with 100 cases in each. The control group used conventional water delivery method, the experimental group all ca-ses wore homemade anus sleeve based on the conventional water birth. After the completion of the second stage of labor, respectively in the two groups of maternal delivery cylinder drain 20 mL water was in delivery cylinder port and cultured for bacteria. Throat swabs were taken for bacterial culture of neonatal. Neonatal body temperature, respiration, umbili-cal healing were observed;Maternal body temperature, the amount of lochia, smell, the length of time, perineal lacera-tion healing were observed. Maternal and neonatal blood routine examination and C response protein were measured third days after delivery in two groups. Maternal and child infection rate, the culture results of water pathogenic bacteria were analyzed statistically. Results The bacteria culture positive rate and the number of colonies of the experimental group were significantly lower than those of the control group ( P<0. 05 ) , but the two groups of maternal and child infection rate was no significant difference (P>0. 05) . Two groups of bacteria culture were positive in 32 cases, including 30 ca-ses of escherichia coli, accounting for 93. 75%, 2 cases of staphylococcus aureus, accounting for 6. 25%. Conclusions The two methods may be considered safe, but the anus sleeve is better; homemade anus sleeve can significantly re-duce the water birth water bacterial contamination rate, thus reducing the risk of maternal and child infection.