早产儿医院感染危险因素分析与干预  

ANALYSIS ON THE RISK FACTOR OF NOSOCOMIAL INFECTION OF PREMATURE IN OBSTETRIC DEPARTMENT AND ITS NURSING COUNTERMEASURE

作　　者：李健平[1] 张伟嫦[1] 陈捷[1] 钟瑞卿[1] 林彬彬[1] 

机构地区：[1]肇庆市第一人民医院,广东肇庆526021

出　　处：《现代医院》2010年第10期81-83,共3页Modern Hospitals

摘　　要：目的探讨产科早产儿医院感染的危险因素,采取有效的护理措施,降低产科早产儿医院感染的发生率。方法追踪观察2005年1月～2009年12月在我院产科出生的早产儿医院感染发生情况;采用因素分析方法分析医院感染危险因素。结果产科早产儿医院感染发生率为4.87%;医院感染与出生胎龄、体重、胎儿窘迫、窒息、胎膜早破等有明显关系;感染部位以呼吸道感染为主(占48.39%),其次为口腔粘膜、皮肤软组织。结论出生窒息及胎龄小、低出生体重、胎儿窘迫、胎膜早破是产科早产儿医院感染的主要危险因素;加强产前、产时、产后的细节护理,强化护理人员预防医院感染的意识,严格执行消毒隔离制度及手卫生制度,是降低早产儿医院感染发生的有效措施。Objective To discuss the risk factor of nosocomial infection of premature in obstetric department, take the effective nursing measures in order to reduce the incidence of nosoeomial infection of premature. Methotis The nosocomial infection of premature from January 2005 to December 2009 in our obstetric depamnent was observed; the risk factors of nosocomial infection were analyzed by factor - analysis. Results The incidence of nosocomial infection of premature was 4.87%. The nosocomial infection was correlated with the birth gestation age, birth weight, fetal distress, asphyxia and premature rupture of membranes. The location of infections was mainly in respiratory tract （48.39%）, the next was oral mucosa and skin soft tissue. Conclusion The asphyxia, low gestation age, low birth weight, fetal distress and premature rupture of membrane were the mainly risk factors of premature nosocomial infection in obstetric department. Strengthening the antenatal nursing, delivery nursing and postpartum nursing, strengthening the nurses＇ consciousness for preventing nosocomial infection, strictly carrying out the sterilization isolation system are the effective measures to reduce the nosocomial infection of premature.

关 键 词：早产儿 医院感染 危险因素 分析 护理 

分 类 号：R181.34[医药卫生—流行病学]