输液室程序化管理对医院感染诱发冬季继发性肺炎的控制效果及分析  

Control effect of programmed management on secondary pneumonia induced by nosocomial infection at infusion rooms in winter

作　　者：王瑜 焦亚昕 郑玲玲 WANG Yu;JIAO Ya-xin;ZHENG Ling-ling(Seventh People's Hospital of Zhengzhou City,Zhengzhou 450000,China)

机构地区：[1]郑州市第七人民医院,河南郑州450000

出　　处：《中国校医》2020年第7期527-528,560,共3页Chinese Journal of School Doctor

摘　　要：目的探讨程序化隔离输液室管理对医院感染诱发冬季儿童输液室继发性肺炎的效果及分析。方法选取2018年11月-2018年1月期间本院收治的300例患有上呼吸道感染性非肺炎患儿为研究对象,采用随机数字表法将其分为观察组和对照组,各150例。对照组均接受本院传统大儿科输液室输液,观察组均接受本院特定隔离输液室输液并实施程序化管理。两组患儿病情诊断差异无显著性,且接受相同的治疗方案及治疗周期,对比分析不同输液条件对患儿继发性肺炎发生率、康复率及血液生化指标变化。结果治疗前后两组患儿血浆中白细胞总数均呈现上升趋势,其中治疗后对照组(17.17±4.34×109/L)高于观察组(13.43±1.24×109/L)(P<0.05);观察组患儿治疗期间继发性肺炎发生率(0.7%)显著低于对照组(10.00%)(P<0.05);观察组康复出院率(94.67%)高于对照组(86.00%)(P<0.05)。结论实施特定隔离输液室程序化管理可显著降低医院感染诱发的冬季儿科输液室继发性肺炎发生率,具有重要临床推广意义。Objective To investigate the effect of the programmed management on secondary pneumonia induced by nosocomial infection at children’s infusion rooms in winter.Methods A total of 300 children with upper respiratory tract infection without pneumonia admitted to a hospital from November 2018 to January 1818 were enrolled in this study.They were randomly divided into a trial group and a control group,with 150 cases in each group.The control group received the infusion at the traditional pediatric infusion rooms of the hospital,and the trial group received the infusion at the specific isolation infusion rooms of the hospital and the programmed management.There was no significant difference between two groups in the diagnosis,and the same treatment plan and treatment cycle were given.The incidence of secondary pneumonia,rehabilitation rate and blood biochemical parameters were investigated,analyzed,and compared at the different infusion conditions.Results Before and after the treatment,the total number of white blood cells in the two groups showed an upward trend,and the total number of white blood cells in the control group(17.17±4.34×10~9/L)was significantly higher than that in the trial group(13.43±1.24 ×10~9/L)(P<0.05).The incidence of secondary pneumonia in the trial group was 0.7%,which was significantly lower than that in the control group(10.00%,P <0.05).The recovery rate of the trial group was 94.67%,which was significantly higher than that of the control group(86.00%,P <0.05).Conclusion The implementation of the specific isolation infusion chamber programmed management can significantly reduce the incidence of secondary pneumonia induced by nosocomial infection at the pediatric infusion rooms,which has important clinical significance.

关 键 词：医院感染 儿科输液室 冬季 继发性肺炎 

分 类 号：R459.3[医药卫生—治疗学]