助产人员外科手卫生干预对产妇会阴侧切切口感染率的影响  

Influence of midwives' surgical hand hygiene intervention in perineal incisional infection rate in parturients

作　　者：肖夕凤 龚秀萍[1] 

机构地区：[1]扬州市妇幼保健院,江苏扬州225002

出　　处：《中国感染控制杂志》2014年第10期619-621,共3页Chinese Journal of Infection Control

摘　　要：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7 148份,其中2012年1—12月未对助产人员外科手消毒进行干预的3 569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3 579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%(2 542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%(10/3 579),低于干预前的0.81%(29/3 569),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。Objective To investigate the qualified rate of midwives＇ surgical hand disinfection and perineal incisional infection in parturients,so as to provide reference for reducing perineal incisional infection.MethodsData 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 December2012 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,underlying diseases,No.of vaginal delivery examination,delivery season,delivery lasting time,incision suture technique,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 from19.31%（n=689）before intervention to 71.03%（n=2 542）after intervention,the difference was significant between two groups（χ^2=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（χ^2=9.36,P〈0.05）.Conclusion The improvement of qualified rate of midwives＇ hand hygiene can reduce perineal incisional infection rate of parturients.

关 键 词：手卫生 外科手消毒 干预 会阴切口 切口感染 产妇 医院感染 

分 类 号：R181.32[医药卫生—流行病学]