持续质量改进在预防会阴伤口感染的应用  

Sustaining Quality Improvement Used in Preventing Perineum Wound Infection

作　　者：彭检妹 周惠苹 陈妙芬 陈志玲 刘华莉 

机构地区：[1]深圳市福田区妇幼保健院,广东深圳518026

出　　处：《中华医院感染学杂志》2007年第7期822-823,共2页Chinese Journal of Nosocomiology

基　　金：深圳市科技局资助(JH200507120958A)

摘　　要：目的探讨持续质量改进在预防会阴伤口感染的作用。方法对2003年住院分娩的产妇会阴伤口感染情况进行回顾性分析,确定目标,制定相关环节的改进方案,测定实施结果。结果2004、2005年会阴伤口感染率、线头炎发生率较2003年明显减少,差异有统计学意义(P<0.05)。结论持续质量改进是一个不断的、渐进的、长期的过程,预防会阴伤口感染是产科工作者长期持续的工作;严格执行无菌技术操作,掌握熟练的缝合技术,选择易吸收的可吸收性的缝合线,术后适当的保洁护理和使用抗菌药物可有效地预防会阴伤口感染和线头炎的发生。OBJECTIVE To discuss the function of sustaining quality improvement in preventing perineum wound infection. METHODS The perineum wound infection situation in 2003 was retrospectively analyzed, and since then the measures for sustaining quality improvement were implemented. RESULTS In 2004 and in 2005 the perineum wound infection percentage and the stitch inflammation rate were obviously reduced than in 2003. The difference was statisticaly significant. CONCLUSIONS Sustaining quality improvement is an unceasing, gradually advancing and long-term process. The prevention of perineum wound infection is a long time work for obstetrics workers. To carry out strictly the aseptic technical operation, grasp skilled suture technology, choose easily absorbable suture, maintain suitable cleanliness and nursing and use the antibiotic could be effectively to prevent the perineum wound infection and the stitch inflammation occurrence.

关 键 词：持续质量改进 产科质量 会阴伤口 感染 

分 类 号：R711.4[医药卫生—妇产科学]