目的确定产前备皮时是否需要剃除阴毛。方法开展临床对照研究,将2003-2006年经阴道分娩产前剃除阴毛的产妇336例作为对照组,以目前待产的产妇103例作为实验组。实验组产前备皮时只清洁会阴,不剃除阴毛,如需要行会阴切开术,在术前用剪刀将手术区阴毛剪短。比较2组会阴感染率及产褥感染率。并通过访谈了解2组产妇对此措施的主观感受。计算备皮剃除阴毛时所用护理时间。结果实验组会阴感染率为5.8%,对照组会阴感染率为2.4%,2组比较差异无统计学意义(U=0.33,P〉0.05),2组均无产褥感染。实验组95%产妇及家属支持这项措施,认为更人性化。在对对照组产妇的电话随访中,有大部分产妇诉说阴毛再生过程中感到很痒和不舒适,对我们的改进表示支持。剃除阴毛所需平均护理时间为(4.6±0.6)min。结论产前备皮时不剃除阴毛是可行的。如需要会阴切开时毛发妨碍手术操作,可在术前用剪刀剪短,可有效减少皮肤感染机会,减少血源性传染病的传播机会,增加孕妇的舒适感,并节约了宝贵的护理时间,是更人性化的护理方式。
Objective To determine whether it is necessary to execute pre-labor pubic shaving. Methods Women (336 cases) who received pubic shaving through vaginal delivery from 2003 to 2006 were set as the control group.Women (103 cases) who were waiting for delivery currently in our hospital were set as .the test group.The test group only received perineal cleaning without pubic shaving.If episiotomy was needed during the operation,the perineal hair was cut by scissors. The perineum infectious rate and postpartal infection was compared in the two groups.We interviewed the patients" attitude for pubic shaving and counted the nursing time used for pubic shaving. Results The perineal infection in the test group was 5.8%,which was no statistically different from that of the control group (2.4%),U=0.33, P 〉 0.05.Totally 95% women in the test group support this method demonstrated humanization.In the telephone follow-up visit for patients in the control group they complained itch and discomfort during the regeneration of pubes. The average nursing time for pubic shaving was (4.6!~0.6) minutes. Conclusions No pubic shaving for pre-labor skin preparation Was feasible.If operation was disturbed by pubes we could use scissors to cut it short.This method could reduce the skin infection and propagation of blood-derived infectious disease.It increased the comfort of parturient,saved time and proved to be a nursing method of humanization.