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目的探讨PDCA循环法在产科VBAC实施中的应用及效果。方法定期检查分析在VBAC实施过程中存在的问题,然后运用PDCA循环法针对存在的问题的进行干预措施并观察效果。结果平均剖宫产率为34%。自某医院产科开展VBAC以来,总的剖宫产率有下降趋势。2014年(12个月)VBAC平均构成比为2.57,平均VBAC率为26.67%,平均VBAC的成功率为80.34%。而2015年(11个月)VBAC的构成比为4.16,平均VBAC率为27.417%,平均VBAC的成功率为82.17%。产科VBAC实施的比例和成功率都有升高。结论通过PDCA循环法的应用,比较2014年和2015年来,产科VBAC实施的比率和成功率都有上升的趋势,剖宫产率有下降趋势,说明PDCA循环法是产科VBAC实施的有利保障。
Objective To explore the application and effect of PDCA circulation in the implementation of obstetric VBAC. Methods Periodic inspection and analysis of the problems in the implementation of VBAC, and then use the PDCA circulation method for the intervention of existing problems and observe the effect. Results The average cesarean section rate was 34%. Since a hospital OBAC VBAC, the total cesarean section rate has declined. The average composition ratio of VBAC in 2014 (12 months) was 2.57, the average VBAC rate was 26.67%, and the average VBAC success rate was 80.34%. In 2015 (11 months), the ratio of VBAC was 4.16, the average VBAC rate was 27.417%, and the average success rate of VBAC was 82.17%. Obstetric VBAC implementation of the proportion and success rate have increased. Conclusion The application of PDCA method shows that the rate and rate of success of VBAC in obstetrics are on the rise compared with that in 2014 and 2015, and the rate of cesarean section has a downward trend, indicating that the PDCA circulation method is a favorable guarantee for the implementation of obstetric VBAC.