医务人员感染冠状病毒危险因素的Meta分析  

Risk factors of coronavirus infection among heath care workers:a meta-analysis

作　　者：肖力 温贤秀[3] 张娟[1,4] 徐嫚 高放[3] 夏琪 王珏岚 Xiao Li;Wen Xianxiu;Zhang Juan;Xu Man;Gao Fang;Xia Qi;Wang Juelan(Nursing School of Chengdu University of Traditional Chinese Medicine,Chengdu 610000,China)

机构地区：[1]成都中医药大学护理学院,四川成都610000 [2]四川省医学科学院·四川省人民医院老年重症科 [3]四川省医学科学院·四川省人民医院护理部 [4]四川省医学科学院·四川省人民医院骨科 [5]四川省医学科学院·四川省人民医院PICC中心 [6]四川省肿瘤医院健康管理中心

出　　处：《护理学杂志》2020年第13期94-98,共5页Journal of Nursing Science

基　　金：2020年成都市新冠肺炎防控科技项目(2020-YF05-00058-SN)。

摘　　要：目的系统评价冠状病毒所致医务人员感染的危险因素,为医务人员提供基于循证证据的感染防控方案。方法计算机检索多个中英文数据库自2002~2020年2月的文献,采用Stata12.0软件进行Meta分析。结果共纳入11项研究,4 795名医务人员。Meta分析结果显示医务人员感染冠状病毒的危险因素包含以下高风险医疗程序:气管插管[OR=4.231,95%CI(1.625,11.015)]、气管切开[OR=5.069,95%CI(2.437,10.543)]、吸痰术[OR=1.672,95%CI(1.349,2.072)]、无创通气[OR=3.140,95%CI(1.439,6.851)]、胸外按压[OR=4.500,95%CI(1.500,13.800)]。结论实施高风险医疗程序增加医务人员感染风险,医务人员应警惕相关危险因素,积极采取防护措施。Objective To explore the risk factors associated with coronavirus infection in healthcare workers,and to provide evidence-based infection prevention and control protocol for them.Methods Papers published from 2002 to February 2020 were searched in electronic databases.Stata 12.0 was employed for meta-analysis.Results Eleven publications were included involving 4795 healthcare workers.Meta-analysis showed that such high-risk procedures as tracheal intubation[OR=4.231,95%CI(1.625,11.015)],tracheotomy[OR=5.069,95%CI(2.437,10.543)],Suctioning[OR=1.672,95%CI(1.349,2.072)],non-invasive ventilation[OR=3.140,95%CI(1.439,6.851)],and chest compression[OR=4.500,95%CI(1.500,13.800)]were risk factors for coronavirus infection in healthcare workers.Conclusion Performing high-risk treatment procedures increases infection risk in healthcare workers,so they should be vigilant and actively take preventive measures during these procedures.

关 键 词：冠状病毒 医务人员 感染 危险因素 高风险医疗程序 META分析 

分 类 号：R473.1[医药卫生—护理学]