全麻气管插管整体消毒管理方法的探讨  

Management Means of Whole Disinfection in Patients with Endotracheal Intubation of General Anesthesia

作　　者：李晓艳[1] 林永德[1] 周桂娟[1] 盛琦[1] 韩萍[1] 熊德华[1] 

机构地区：[1]东台市人民医院院感科,江苏东台224200

出　　处：《护理学杂志（综合版）》2004年第23期58-60,共3页Journal of Nursing Science

基　　金：江苏省医疗卫生科研项目 (N 0 6 8)

摘　　要：目的探讨整体消毒管理方法控制全麻气管插管引起呼吸道感染的有效性。方法对 185 6例全麻气管插管病人分组进行麻醉器械及病人口咽部生物学监测 ,比较消毒方法改进前、后与医院感染的关系。结果全麻气管插管面罩、螺纹管、呼吸气囊、咽喉镜、氧气流量表、钠石灰罐及氧气管道 ,消毒改进前后比较 ,差异有显著性意义 (u =2 0 .5 ,2 0 .1,15 .6 ,14 .30 ,10 .86 ,5 .6 9,4 .0 5 ,均P <0 .0 1) ;医院感染率由原来的 9.97%降为 0 .37% (χ2 =10 0 .5 3,P <0 .0 1)。结论实行整体消毒管理 。Objective To investigate the efficacy of controlling the respiratory infection induced by endotracheal intubation of general anesthesia by management means of whole disinfection. Methods 1856 cases patients with endotracheal intubation of general anesthesia were divided into groups and subjected to the biological monitoring of anesthesia instrument and patients’ oral cavity. The relationship between hospital infection and improvement of disinfection means was analyzed. Results After the improvement of disinfection means, the rate of respiratory system’s hospital infection caused by endotracheal intubation of general anesthesia was decreased from 9.97% to 0.36% with the difference being significant (P< 0.01). Conclusion Whole disinfection can effectively drop the rate of respiratory infection in patients with endotracheal intubation of general anesthesia.

关 键 词：气管插管 呼吸道感染 整体消毒 

分 类 号：R472.1[医药卫生—护理学]