中国临床护理
中國臨床護理
중국림상호리
Chinese Clinical Nursing
2015年
6期
534-536
,共3页
苯中毒%医院感染%职业病
苯中毒%醫院感染%職業病
분중독%의원감염%직업병
Benzene poisoning%Nosocomial infection%Occupational diseases
目的：探讨职业性慢性苯中毒患者医院感染的特征,为制定医院感染防护措施提供依据。方法选取2006年7月-2014年6月222例职业性慢性苯中毒患者的临床资料进行回顾性分析。结果222例职业性慢性苯中毒患者发生医院感染63例,感染率为28.38%；感染例次数为87例次,例次感染率为39.19%。呼吸道感染36例(41.38%)位居首位。病原菌主要为肺炎支原体与肺炎克雷伯菌,分别占40.90%和18.18%。中、重度中毒患者感染率分别为43.75%和48.00%。随着住院时间的延长医院感染率逐渐上升,住院时间3个月以内患者医院感染率为6.90%,住院时间12个月以上患者医院感染率为81.82%。对医院感染与住院时间进行 Pearson 相关性分析,r =0.439,P <0.01,说明两者呈正相关。结论慢性苯中毒为职业病患者中发生医院感染的高危人群,以呼吸道感染为主；住院时间愈长,感染风险愈大。护理过程中进行有效地护理干预可降低医院感染率。
目的：探討職業性慢性苯中毒患者醫院感染的特徵,為製定醫院感染防護措施提供依據。方法選取2006年7月-2014年6月222例職業性慢性苯中毒患者的臨床資料進行迴顧性分析。結果222例職業性慢性苯中毒患者髮生醫院感染63例,感染率為28.38%；感染例次數為87例次,例次感染率為39.19%。呼吸道感染36例(41.38%)位居首位。病原菌主要為肺炎支原體與肺炎剋雷伯菌,分彆佔40.90%和18.18%。中、重度中毒患者感染率分彆為43.75%和48.00%。隨著住院時間的延長醫院感染率逐漸上升,住院時間3箇月以內患者醫院感染率為6.90%,住院時間12箇月以上患者醫院感染率為81.82%。對醫院感染與住院時間進行 Pearson 相關性分析,r =0.439,P <0.01,說明兩者呈正相關。結論慢性苯中毒為職業病患者中髮生醫院感染的高危人群,以呼吸道感染為主；住院時間愈長,感染風險愈大。護理過程中進行有效地護理榦預可降低醫院感染率。
목적：탐토직업성만성분중독환자의원감염적특정,위제정의원감염방호조시제공의거。방법선취2006년7월-2014년6월222례직업성만성분중독환자적림상자료진행회고성분석。결과222례직업성만성분중독환자발생의원감염63례,감염솔위28.38%；감염례차수위87례차,례차감염솔위39.19%。호흡도감염36례(41.38%)위거수위。병원균주요위폐염지원체여폐염극뢰백균,분별점40.90%화18.18%。중、중도중독환자감염솔분별위43.75%화48.00%。수착주원시간적연장의원감염솔축점상승,주원시간3개월이내환자의원감염솔위6.90%,주원시간12개월이상환자의원감염솔위81.82%。대의원감염여주원시간진행 Pearson 상관성분석,r =0.439,P <0.01,설명량자정정상관。결론만성분중독위직업병환자중발생의원감염적고위인군,이호흡도감염위주；주원시간유장,감염풍험유대。호리과정중진행유효지호리간예가강저의원감염솔。
Objective To investigate the characteristics of nosocomial infection among patients with occupational chronic benzene poisoning,in order to provide references for formulating related preventive measures.Method An retrospective investigation was carried out on the clinical data of 222 patients with occupational chronic benzene poisoning in our hospital from July 2006 to June 2014.Results Among the 222 patients, 63 of them had nosocomial infection, with an infection rate of 28.38%.The case number of infection was 87,with a case-time infection rate of 39.1 9%. The respiratory tract infection ranked first at 41.38% (36/87 ), with mycoplasma pneumoniae (40.90%)and klebsiella pneumoniae (18.18%)as pathogenic bacteria respectively. Among all the patients,43.75% suffered from medium-degree poisoning,while 48% were of severe poisoning.The rate of nosocomial infection increased gradually with the increase of stay in hospital. Among patients hospitalized for 3 months,the nosocomial infection rate was 6.90%.For those for 12 months,the rate rose to 81.82%.The length of hospital stay was positively related to the nosocomial infection rate.Conclusion Chronic benzene poisoning patients are high-risk population of nosocomial infection among patients with occupational diseases.The infection in respiratory tract was mostly commom.Patients with longer hospitalization time have greater risk of infection.So effective nursing intervention should be conducted to lower the rate of nosocomial infection.
