CAJ | 학술논문

目的：对新生儿重症监护室（NICU）院内感染的发生情况及相应的护理干预措施。方法：对我院2011年1月—2014年8月收治的60例NICU院内感染的新生儿的临床资料进行回顾性分析，总结感染原因及相应的护理干预措施。结果：本研究院内感染的发生率为9.1%；其中早产儿52例（86.7%），足月儿8例（13.3%）；早产儿院内感染的发生率明显高于足月儿，P＜0.05，差异具有统计学意义。42例患儿病原菌培养呈阳性，其中29例为革兰阴性杆菌（69.1%），13例为革兰阳性球菌（31.0%）。住院时间4 d以内的患儿14例，发生率为23.3%，住院时间4 d以上者46例，发生率为76.7%，组间比较具有统计学意义（P＜0.05）。结论：早产儿的 NICU 院内感染的发生率高于足月儿，因此严格消毒技术及无菌操作，控制广谱抗生菌药物的使用是预防 NICU院内感染的重要途径。
목적：대신생인중증감호실（NICU）원내감염적발생정황급상응적호리간예조시。방법：대아원2011년1월—2014년8월수치적60례NICU원내감염적신생인적림상자료진행회고성분석，총결감염원인급상응적호리간예조시。결과：본연구원내감염적발생솔위9.1%；기중조산인52례（86.7%），족월인8례（13.3%）；조산인원내감염적발생솔명현고우족월인，P＜0.05，차이구유통계학의의。42례환인병원균배양정양성，기중29례위혁란음성간균（69.1%），13례위혁란양성구균（31.0%）。주원시간4 d이내적환인14례，발생솔위23.3%，주원시간4 d이상자46례，발생솔위76.7%，조간비교구유통계학의의（P＜0.05）。결론：조산인적 NICU 원내감염적발생솔고우족월인，인차엄격소독기술급무균조작，공제엄보항생균약물적사용시예방 NICU원내감염적중요도경。
Objective:Toanalyze occurrence of nosocomial infection and nursing measures in neonatal intensive care units(NICU). Methods:Clinical data of 60 n ewborns w ith nosocomial infection in N ICU in our hos pital fr om J anuary 201 1 toA ugust20 14 was retrospectively analyzed, the infection causes and nursing measures were summarized. Results:The nosocomial infection in this study was 9.1%;52 cases w ere premature infant(86.7%), 8 c ases w ere term infants(13.3%);the nos ocomial infection in premature infantwas m uch higher than thatin term infant, P<0.05. The pathogens culture in 42 cases were positive, 29(69.1%) cases were infected by gram negative bacilli, 13(31.0%)) cases were infected by gram positive bacilli. The hospital stays of 14 cases were shorter than 4 days, the occurrence rate was 23.3%, thatof 46 cases were longer than 4 days (P<0.05).Conclusion:The NICU nosocomial infection rate of premature infants was much higher than thatof term infants, tobes trictin disinfection technology and a septic technique, c ontroling broad spectrum a ntibiotic bacteria drug are the key measures topreventthe nosocomial infection.