阴道分娩产妇尿常规标本留取方法的探讨

Study on method for keeping routine urine specimen in women with vaginal delivery

目的探讨阴道分娩产妇尿常规标本留取方法,为提高阴道分娩产妇尿常规检测的准确性。方法随机选择顺产分娩的产妇100例,分为实验组与对照组,实验组由夜班护士予以会阴护理后阴道口用干棉球堵塞,留取晨尿的中段尿,对照组由产妇用温开水常规清洗外阴后留取晨尿的中段尿。结果实验组尿常规白细胞(WBC)、红细胞(RBC)和尿蛋白(PRO)检出率显著低于对照组,差异均有统计学意义(x值分别为50.31、28.89、11.96,均P<0.05)。结论会阴护理后阴道口用干棉球堵塞能够有效的提高产妇尿常规检验的准确性,且操作方法筒单,不增加护士的额外护理时间,产妇以及护士人员更愿意接受,值得临床推广。

Objective .To study the method for keeping routine urine specimen in women with vaginal delivery, so as to improve the accuracy of routine urine test for them. Methods Totally 100 puerperas with natural childbirth were randomly selected and divided into experimental group and control group. For the experimental group night nurses gave perineum nursing and blocked vaginal orifice with dry cotton ball for keeping midway of morning urine, while puerperas in the control group kept their midway of morning urine after regular cleaning vulva with warm boiled water. Results The detection rates of WBC, RBC and PRO in the experimental group were significantly lower than those of the control group, and the differences were significant （χ^2 value was 50.31, 28.89 and 11.96, respectively, all P 〈 0.05 ）. Conclusion Blocking vaginal orifice with dry cotton bail after perineum nursing can effectively improve the accuracy of urine routine test with simple operation and without extra nursing time. Puerperas and nurses are more willing to accept the method, and it is worthy of spread in clinics.