妇产科医院感染调查分析与护理对策  

Investigation of Nosocomial Infection in Obstetrics and Gynecology Ward and Nursing Strategy

作　　者：糜琛蓉[1] 李和姐[1] 张丽君[1] 陈燕[1] 陶祥龄[1] 

机构地区：[1]上海第二医科大学附属瑞金医院感染办,上海200025

出　　处：《解放军护理杂志》2004年第2期16-17,共2页Nursing Journal of Chinese People's Liberation Army

摘　　要：目的　探讨妇产科产妇及患者的医院感染现状和护理对策。方法　以回顾性调查方法对 2 0 0 1年 1月～ 2 0 0 2年 10月妇产科5 3 97例出院病例医院感染发生状况进行统计分析。结果　共发生医院感染 13 3例次 ,例次发生率为 2 .46%,医院感染部位前 4位分别为呼吸道、泌尿道、胃肠道、手术切口 ;分组后II类手术切口组医院感染发生率最高 ,其中剖宫产术组部位发生率以呼吸道最高 ;子宫切除术组以泌尿道最高 ,会阴切开术组以手术切口最高。结论　在临床护理过程中 。Objective To investigate the nosocomial infection status in our obstetrics and gynecology ward and propose nursing strategy. Methods Nosocomial infection rates were investigated retrospectively in 5,397 patients discharged from the obstetrics and gynecology ward of our hospital between Jan 2001 and Oct 2002.Results Nosocomial infection occurred in 133 patients over the period and the occurrence rate was 2.46%(133/5,397). The infections mainly occurred in the respiratory tract, urinary tract, gastrointestinal tract and operation incisions. Patient grouping showed that the highest rate occurred in the patient group of incision Ⅱ, of which infection of the respiratory tract occurred mainly in the caesarean operation group, the infection of the urinary tract in the hysterectomy group, and the operation incision group mainly involved the perineotomy group.Conclusions Specific measures directed at high risk factors of infection could prevent and decrease nosocomial infection in clinical nursing settings.

关 键 词：妇产科 医院感染 护理对策 剖宫产术 

分 类 号：R714[医药卫生—妇产科学] R473.71[医药卫生—临床医学]