中华医院感染学杂志
中華醫院感染學雜誌
중화의원감염학잡지
Chinese Journal of Nosocomiology
2015年
7期
1632-1633,1636
,共3页
白内障手术%医院感染%预防%控制
白內障手術%醫院感染%預防%控製
백내장수술%의원감염%예방%공제
Cataract operation%Nosocomial infection%Prevention%Control
目的：探讨白内障手术患者医院感染的相关因素及其预防控制措施，为全面提升白内障手术的临床治疗效果、最大程度挽救患者的视力功能。方法回顾性分析2011年6月－2013年6月587例白内障手术患者临床资料，总结分析老年白内障手术患者的相关易感因素及其医院感染预防与控制措施，并对感染控制效果进行评估，数据采用SPSS 17．0软件进行统计分析。结果587例白内障手术患者中发生医院感染32例，医院感染率5．45％；白内障合并基础疾病患者医院感染率可达9．36％，＜70岁白内障患者医院感染率明显降低，仅为2．39％；无菌操作不规范、手术环境污染以及医疗器械污染患者医院感染率较高，分别为12．44％、12．29％及11．35％，差异均有统计学意义（ P＜0．05）。结论白内障手术患者医院感染的危险因素种类多，医务人员应当重视围手术期的无菌化操作，全面实施科学、规范、系统的护理干预方案以有效降低医院感染的发生。
目的：探討白內障手術患者醫院感染的相關因素及其預防控製措施，為全麵提升白內障手術的臨床治療效果、最大程度輓救患者的視力功能。方法迴顧性分析2011年6月－2013年6月587例白內障手術患者臨床資料，總結分析老年白內障手術患者的相關易感因素及其醫院感染預防與控製措施，併對感染控製效果進行評估，數據採用SPSS 17．0軟件進行統計分析。結果587例白內障手術患者中髮生醫院感染32例，醫院感染率5．45％；白內障閤併基礎疾病患者醫院感染率可達9．36％，＜70歲白內障患者醫院感染率明顯降低，僅為2．39％；無菌操作不規範、手術環境汙染以及醫療器械汙染患者醫院感染率較高，分彆為12．44％、12．29％及11．35％，差異均有統計學意義（ P＜0．05）。結論白內障手術患者醫院感染的危險因素種類多，醫務人員應噹重視圍手術期的無菌化操作，全麵實施科學、規範、繫統的護理榦預方案以有效降低醫院感染的髮生。
목적：탐토백내장수술환자의원감염적상관인소급기예방공제조시，위전면제승백내장수술적림상치료효과、최대정도만구환자적시력공능。방법회고성분석2011년6월－2013년6월587례백내장수술환자림상자료，총결분석노년백내장수술환자적상관역감인소급기의원감염예방여공제조시，병대감염공제효과진행평고，수거채용SPSS 17．0연건진행통계분석。결과587례백내장수술환자중발생의원감염32례，의원감염솔5．45％；백내장합병기출질병환자의원감염솔가체9．36％，＜70세백내장환자의원감염솔명현강저，부위2．39％；무균조작불규범、수술배경오염이급의료기계오염환자의원감염솔교고，분별위12．44％、12．29％급11．35％，차이균유통계학의의（ P＜0．05）。결론백내장수술환자의원감염적위험인소충류다，의무인원응당중시위수술기적무균화조작，전면실시과학、규범、계통적호리간예방안이유효강저의원감염적발생。
OBJECTIVE To explore the related factors of nosocomial infections in patients with cataract operation and the prevention and control measures so as to enhance the clinical outcomes of cataract operation and rescue vis‐ual function to the largest degree .METHODS Clinical data of 587 patients with cataract operation during Jun . 2011 -Jun .2013 were retrospectively analyzed .The risk factors related to cataract operation in elderly patients and the prevention and control measures of nosocomial infection were summarized and analyzed .The effects of in‐fections control were assessed .Data were statistically analyzed by the software SPSS 17 .0 .RESULTS Nosocomial infections occurred in 32 out of 587 patients with cataract operation ,the incidence rate of nosocomial infections was 5 .45% .The rate of nosocomial infection was up to 9 .36% in cataract patients combined with other underly‐ing diseases and was significantly lower in cataract patients younger than 70 years old ,being only 2 .39% .The rate of nosocomial infections in cataract patients with non‐standard aseptic operation ,environment pollution and contamination of medical devices were relatively high ,up to 12 .44% ,12 .29% and 11 .35% respectively .There was statistically difference (P<0 .05) .CONCLUSION There were many risk factors for nosocomial infections in patients with cataract operation .Medical staff should pay more attention to perioperative aseptic operation and give full implementation to scientific ,standard and systematic nursing intervention program to effectively reduce the oc‐currence of nosocomial infections .
