妇产科会阴切开产妇感染预防对策

Prevention and nursing of perineal incision infections in department of obstetrics and gynecology

目的探讨预防妇产科会阴部切开感染的方法,并总结其护理经验,以更好地指导临床。方法收集2010年5月-2012年5月于妇产科接受分娩会阴切开术产妇150例,随机分为对照组与观察组各75例,对照组给予常规护理,观察组在常规护理基础上给予预防性护理干预;比较两组产妇感染情况,并总结护理方法。结果观察组产妇会阴部切开感染2例感染率为4.76%、对照组感染7例感染率为9.33%,两组比较差异有统计学意义(χ2=6.18,P<0.05);观察组中2例出现感染,其中1例大肠埃希菌感染、1例金黄色葡萄球菌感染;对照组中7例出现感染,其中3例大肠埃希菌感染,金黄色葡萄球菌、表皮葡萄球菌感染各2例。结论对会阴切开产妇进行有效的预防性护理干预,可有效降低产妇会阴切口感染的发病率,值得临床应用。

OBJECTIVE To explore the prevention measures of perineal incision infections in department of obstetrics and gynecology and summarize nursing experience so as to guide the clinical treatment.METHODS A total of 150cases of pregnant women who received episiotomy in the department of gynecology and obstetrics from May 2010to May 2012were enrolled in the study and were randomly divided into the control group and the observation group,with 75cases in each;the control group was treated with the routine nursing,while the observation group was given the preventive nursing on the basis of routine nursing;the incidence of perineal incision infections was compared between the two groups,and the nursing measures were summarized.RESULTS There were 2（4.86%） cases with perineal incision infections in the observation group and 7（9.33%）cases in the control group,the difference between the two was significant（χ2=6.18,P0.05）.Of the 2cases with infections in the observation group,there were 1case with Escherichia coli infection and 1case with Staphylococcus aureus infection;of totally 7cases with infections in the control group,there were 3cases with E.coli infections,2cases with S.aureus infections,and 2cases with Staphylococcus epidermidis infections.CONCLUSION The preventive nursing intervention can effectively reduce the incidence of perineal incision infections of the pregnant women,which is worthy of the clinical application.