CAJ | 학술논문

目的：调查医护人员医疗锐器损伤的相关因素，探讨有效的职业防护管理措施。方法采用前瞻性研究方法，监测医务人员医疗锐器损伤发生情况。结果2012年1-12月医务人员发生职业暴露共130人其中发生医疗锐器损伤121名、占93．08％，皮肤黏膜接触8人、占6．15％，离体残肢端刺伤1人、占0．77％；内外科病房和门诊输液厅是锐器伤主要发生场所；各种诊疗穿刺和注射、采血操作是常见的锐器伤环节；暴露源为乙型肝炎者占首位为33．06％；一级暴露7人、占5．79％，二级暴露114人、占94．21％。所有医疗锐器损伤的医务人员经追踪观察，无一人发生血源传播性疾病。结论医疗锐器伤是医疗操作中常见的职业暴露，遵守操作规程，重视自身的防护是降低职业性感染的有效方法。
목적：조사의호인원의료예기손상적상관인소，탐토유효적직업방호관리조시。방법채용전첨성연구방법，감측의무인원의료예기손상발생정황。결과2012년1-12월의무인원발생직업폭로공130인기중발생의료예기손상121명、점93．08％，피부점막접촉8인、점6．15％，리체잔지단자상1인、점0．77％；내외과병방화문진수액청시예기상주요발생장소；각충진료천자화주사、채혈조작시상견적예기상배절；폭로원위을형간염자점수위위33．06％；일급폭로7인、점5．79％，이급폭로114인、점94．21％。소유의료예기손상적의무인원경추종관찰，무일인발생혈원전파성질병。결론의료예기상시의료조작중상견적직업폭로，준수조작규정，중시자신적방호시강저직업성감염적유효방법。
Objective To explore and investigate the relative risks of sharp instrument injuries among medi -cal staff , and discuss the countermeasures .Methods Information and occurrence situation of sharp instrument inju -ries among medical staff were collected by prospective surveillance .Results From Jan 2012 to Dec 2012, the num-ber of medical staff with the occurrence occupational exposure was 130, while 121 of them were hurt by sharp instru-mental (93.08%), 8 were contacted on their skin and mucosa (6.15%), 1 was punctured on the end of in vitro stump (0.77%) .Medical-surgical unit and transfusion hall of out -patient were major occurrence place of sharp instrument injuries;puncture , injection and blood collection were common steps .The exposure source of hepatitis B ranked the first (33.06%);the number of first -level exposure was 7 (5.79%), the second-level exposure was 114 (94.21%) .The tracking survey on those medical staff who were hurt by sharp instrument showed that no one got hematogenous spread disease .Conclusion Sharp instrument injury is a common exposure in medical practice .Com-plying with the standardized operation , paying attention to the self -protection are efficient ways to decrease occur-rence rate of occupational infection .