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消化内镜医院感染的预防 被引量:15

Prevention and nursing of gastrointestinal endoscopy nosocomial infections
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摘要 目的研究预防消化内镜医院感染的方法及消化内镜感染的护理措施,以完善消化内镜的诊治工作。方法选取医院2010年1月-2012年12月进行消毒内镜诊疗的300例患者为研究组,给予新型预防消毒内镜医院感染的方法及消毒内镜感染的护理措施;将2009年1-10月100例患者为对照组,给予传统的预防消毒内镜医院感染的方法及消毒内镜感染的护理措施,比较两组患者诊疗后不良反应的发生情况。结果研究组患者呛咳躁动率、恶心率、患者术后不适率分别为1.7%、2.0%、1.0%,对照组分别为15.0%、21.0%、11.0%,研究组均明显低于对照组,两组比较差异有统计学有意义(P<0.05);研究组的病原菌检出率为8.0%,对照组检出率为33.0%,两组比较差异有统计学意义(P<0.05),两组均未发生败血症。结论新型消毒内镜医院感染的预防和护理管理效果良好,避免了医院交叉感染。 OBJECTIVE To explore the prevention and nursing measures for the gastrointestinal endoscopy nosocomial infections so as to improve the diagnosis and treatment of digestive endoscopy. METHODS A total of 300 patients who underwent gastrointestinal endoscopy in the hospital from Jan 2010 to Dec were selected as the study group which received the newly prevention and nursing measures for the gastrointestinal endoscopy nosocomial infections;while 100 patients who were treated in the hospital from Jan to Oct 2009 were selected as the control group which was given the traditional prevention and nursing measures for the gastrointestinal endoscopy nosocomial infections;the incidence of the adverse reactions in the two groups of patients were eompared before and after the diagnosis and treatment. RESULTS In the study group, the incidence rates of the cough choke restless, nausea, and postoperative discomfort were 1. 7%, 2.0%, and 1.0%, respectively, which were 15.0 %, 21.0% ,and 11.0%, respectively in the control group, the study group was significantly lower than the control group, the difference was statistically significant (P〈 0.05). The detection rate of pathogens was 8.0% in the study group, 33.0% in the control group, the difference between the two groups was statistically significant (P〈0.05), the sepsis occurred in neither of the two groups. CONCLUSION The new prevention and nursing management for gastrointestinal endoscopy nosocomial infections can achieve good effect and avoid the cross infections.
作者 吴利红
出处 《中华医院感染学杂志》 CAS CSCD 北大核心 2013年第6期1406-1407,共2页 Chinese Journal of Nosocomiology
关键词 消化内镜 医院感染 预防 护理 Gastrointestinal endoscope Nosocomial infection Prevention Nursing
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