河南省某三甲医院手术室医生血源性职业暴露调查  

Investigation on bloodborne occupational exposure of operating room doctors in a third grade A hospital in Henan province

作　　者：李俊艳[1] 李福琴[1] 刘盛楠[1] 刘彩红[1] LI Junyan;LI Fuqin;LIU Shengnan;LIU Caihong(The First Affiliated Hospital of Zhengzhou University,Zhengzhou,Henan 450052,China)

机构地区：[1]郑州大学第一附属医院,河南郑州450052

出　　处：《河南预防医学杂志》2022年第3期230-232,共3页Henan Journal of Preventive Medicine

摘　　要：目的 了解河南省某三甲医院手术室医生血源性职业暴露特点。方法 采用回顾性调查方法,对河南省某三甲医院2018-2020年手术室医生血源性职业暴露情况进行分析。结果与结论 该时间段内共发生125例手术室医生血源性职业暴露,其中工作年限不超过5年的医生占比较高(87例,69.60%);每日16-20时是血源性职业暴露的高发时段。神经外科医生血源性职业暴露发生率较高(参与手术操作17 448人次,发生血源性职业暴露13例,血源性职业暴露发生率0.75‰);手术缝合阶段发生血源性职业暴露的概率高(76例,60.80%);针刺或锐器损伤是主要的血源性暴露方式,有104例(83.20%);乙型肝炎病毒是手术室医生主要的暴露源,有53例(42.40%)。应针对血源性职业暴露的特点加强教育培训、规范外科操作、合理使用防护用品,以降低发生率。Objective To understand the characteristics of bloodborne occupational exposure of operating room doctors in a third grade A hospital in Henan province. Methods A retrospective investigation was conducted to analyze the bloodborne occupational exposure of operating room doctors from 2018 to 2020 in a third grade A hospital in Henan province. Results and Conclusion During this period, 125 doctors in the operating room were exposed to bloodborne occupational exposure. Among them, the proportion of doctors with working years less than 5 years was higher(87 cases,69.60%).Bloodborne occupational exposure occurred most frequently between 16:00 to 20:00 every day.Neurosurgeons had higher incidence of bloodborne occupational exposure(17 448 doctors participated in surgical operations, bloodborne occupational exposure occurred in 13 cases,and the incidence of bloodborne occupational exposure was 0.75‰). Surgical suturing was the high-risk time of bloodborne occupational exposure(76 cases,60.80%). Acupuncture or sharp instrument injury was the main way of blood exposure(104 cases,83.20%). Hepatitis B virus was the main exposure source for operating room doctors(53 cases,42.40%).Education and training should be strengthened according to the characteristics of bloodborne occupational exposure, and standard surgical practice and rational use of protective equipment should be performed to reduce incidence.

关 键 词：医生 手术室 血源性职业暴露 调查 河南省 

分 类 号：R192.3[医药卫生—卫生事业管理]