产科医务人员职业暴露的调查分析与临床干预  

The survey of obstetric medical staff about occupational expusure and clinical intervention

作　　者：罗华 

机构地区：[1]苍溪县红十字医院感染科,四川苍溪628400

出　　处：《医学信息（医药版）》2010年第1期75-77,共3页

摘　　要：目的：分析产科医务人员职业暴露的危险因素，为制定相应的职业防护措施提供依据。方法：对2006年～2008年发生的84例产科医务人员在工作中发生血源性病原体职业暴露的调查分析。结果：破损皮肤或粘膜暴露21例（占25％），锐器伤63例（占75％）。眼睛的血液或体液溅污暴露率达95．23％，其暴露物主要是血液占90．48％；锐器伤主要是缝针占58．7％，穿刺针占20．6％，注射针占15．9％，暴露源为HBsAg阳性血液的占80．95％。对发生职业暴露的医务人员及时进行临床干预，追踪随访，无一人因暴露而发生感染。结论：医务人员是职业暴露的高危人群，尤其是产科的医护人员工作在特殊的环境中，必须加强职业暴露知识的培训和教育，减少职业暴露危险，做好自我防护是十分重要的。Objective analyze the occupational exposure risk factors of obstetric medical staff, in order to make the appropriate protective measures. Methods to survey the 84 cases of obstetric staff about occupational exposure to blood- borne pathogens that occurred in their work place from 2006 to 2008. Results 21 cases of the broken skin or mucous membrane exposure （25%）; 63 cases of sharp injury （75%）. the rate of eyes exposure to the splash pollution of blood or body fluids is 95.23%, and blood is the main factors which accounted for 90.48%. Among the sharp injury, sewing needle was accounted for 58.7%, puncturing needle was accounted for 20.6%, and injection needle was accounted for 15.9%. The exposure source is the Hepatitis B surface antigen, and the positive blood accounted for 80.95%. Through timely clinical interventions and tracking follow-up to the medical staff, nobody was exposed to the infection. Conclusion The medical staff is a high-risk groups of occupational exposure, particularly the obstetric health care workers who working in a special environment, and must strengthening the occupational exposure knowledge＇s training and education to reduce the risk of occupational exposure, that is, do a good job of self-protection is very important.

关 键 词：医院感染 职业暴露 医务人员 临床干预 

分 类 号：R512.91[医药卫生—内科学]