神经外科病房医院感染分析及护理干预.pdfVIP

现代医药卫生2008年24卷第6期 819 神经外科病房医院感染分析及护理干预 王水莲。冯小丽。骆安林 (阳春市人民医院神经外科．广东阳春529600) 【摘要】目的：探讨神经外科病房医院感染的原因及护理干预措施。方法：对我科2005年3月一2007年2月医院感染进行病历调查 及回顾性分析。结果：发生医院感染中以老年、危重患者居多；感染部位占前三位的是下呼吸道、泌尿道、胃肠道；基础疾病以重型颅 脑损伤、脑血管疾病的感染率最高：并与创伤性操作、机体抵抗力下降、不合理抗菌药物应用、医务人员缺乏交叉感染意识等有关。 结论：加强病室管理，改善环境因素和治疗操作中易导致污染和感染的环节，认真遵守无菌原则，切断感染途径，提高患者机体抵抗 力。合理应用抗生素是预防神经外科病房医院感染的有效护理干预措施。 【关键词】神经外科病房；医院感染；护理干预 文章编号：1009—5519{2008)06-0819—02 中图分类号：R47 文献标识码：A Analysis and nursing intervention of nosocomial infection in neurosurgery WANG Shui—lian．FENG Xiao-li，LUO A lln (Department ofNeurosurgery，The People Hospital ofYangchun，Cnangdong 529600，China) 【Abstract]Objective：To investigate the causes of nosocomial infection in neumsurgery wards and its measures of nursing interven- tion．Methods： e case history data in our department from March 2005 to February 2007 were investigated，and anMy~d retrospective- ly．Results：Most ofthe patients in nosocomial infection were the elderly and the criticM patients． e first to third place ofinfection po- sition were occupied by the lower respiratory tract．urinary tract and gastrointestinal tract in turn．The infection rate of~vere brain injury and cerebral vascular diseases Was the highest than that ofthe othem in the underlying illness，the infection had certain relations to the traumatic operation，low resistance of body，unreasonable application of antiseptic drugs，medical personnels deficiency of cross infection and SO on．Conclusion：Strengthening the management of wards．improving the enviroment and links which could easily lead to pollution and infection in the operations，observing the aseptic principle seriously，cutting off the infection~uree，improving t