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目的：探讨品管圈在促进自然分娩降低会阴侧切率的临床应用效果，为制定护理措施及质量控制指标提供依据。方法：成立品管圈，以回顾分析的方法对2013年4～6月分娩的低危初产妇92例及成立品管圈后2015年4～6月分娩的低危初产妇106例的侧切率及相关指标进行统计及分析。结果：会阴侧切率由成立品管圈前的48.91%降至品管圈成立后的18.87%，差异有统计学意义（P＜0.01）；品管圈成立前后会阴Ⅱ度及Ⅲ度裂伤发生率差异无统计学意义（P＞0.05）。结论：品管圈对护理服务理念、助产技术和管理制度等方面进行改善，可显著降低初产妇会阴侧切率，同时并未增加会阴Ⅱ度及Ⅲ度裂伤发生率，从而有效保障产妇生殖健康，促进自然分娩。“,”Objective Discusses the clinical application of quality control circles on the reduction of episiotomy rate to promote natural childbirth, to provide evidence for nursing measures and quality control index.Method Set up quality control circles, using retrospective analysis method to statistic and analysis the episiotomy rate and relevant indicators of the delivery in April to June 2013 low-risk primipara 92 cases and the delivery in April to June 2015 low-risk primipara 106 cases.Results Episiotomy rate from 48.91% before set up quality control circle fell to 18.87% of the quality control circle after the establishment, the difference was statistically significantP0.05 .Conclusion Quality control circle can improve the nursing service concept, and the skills of midwifery and the management system. It can significantly decrease the rate of primipara episiotomy, at the same time does not increase incidence of perineumⅡ degree and Ⅲdegree laceration, thus effectively protect maternal reproductive health, promote natural delivery.