PDCA循环在预防剖宫产术后切口感染中的应用效果评价

发布时间：2019-05-16 12:27

【摘要】：目的探讨PDCA循环在预防剖宫产术后切口感染中的应用效果,为更好的预防剖宫产切口感染提供理论依据。方法收集2009年1月-2011年3月在医院就诊行剖宫产术的1 530例产妇的临床资料,按PDCA循环管理实施前后进行分组,对照组(实施前)751例,研究组(实施后)779例,对比分析两组产妇术后切口感染情况。结果研究组剖宫产术后切口感染率为1.03%、对照组为7.99%,研究组明显低于对照组,两组比较差异有统计学意义(χ2=43.64,P0.05);共检出病原菌68株,大肠埃希菌、铜绿假单胞菌、金黄色葡萄球菌、粪肠球菌、肺炎克雷伯菌,分别占35.29%、19.12%、17.65%、10.29%、8.82%;阶段性分析显示,随着PDCA循环管理的实施,产妇的切口感染率逐渐降低,从3.39%降至0,甲级愈合率从96.61%升至100.00%。结论 PDCA循环在预防剖宫产术后切口感染中的应用效果显著,能够有效预防术后感染。
[Abstract]:Objective to investigate the effect of PDCA circulation in preventing incision infection after cesarean section, and to provide theoretical basis for better prevention of incision infection after cesarean section. Methods the clinical data of 1 530 parturients undergoing cesarean section in hospital from January 2009 to March 2011 were collected and divided into control group (n = 751) and study group (n = 779) before and after the implementation of PDCA cycle management. The postoperative incision infection between the two groups was compared and analyzed. Results the infection rate of incision after cesarean section was 1.03% in the study group and 7.99% in the control group, which was significantly lower in the study group than in the control group. There was significant difference between the two groups (P 0.05). A total of 68 strains of pathogenic bacteria, Escherichia coli, Pseudomonas aeruginosa, Staphylococcus aureus, Enterococcus faecalis and Klebsiella pneumoniae were detected, accounting for 35.29%, 19.12%, 17.65%, 10.29% and 8.82%, respectively. Stage analysis showed that with the implementation of PDCA cycle management, the incision infection rate of parturients decreased from 3.39% to 0, and the healing rate of grade A increased from 96.61% to 100.00%. Conclusion PDCA circulation is effective in preventing incision infection after cesarean section and can effectively prevent postoperative infection.
【作者单位】：桐乡第二人民医院妇产科;
【基金】：浙江省卫生厅医药基金资助项目(2010B329)
【分类号】：R719.8

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