手足口病临床护理及院内感染控制探析.docVIP

手足口病临床护理及院内感染控制探析[摘要]目的探讨手足口病临床护理及院内感染控制措施的方法和措施，为手足口病患者规范性护理、院内感染控制提供相关相关资料和数据。方法对2008年4～10月在本院收治的159例手足口病患儿进行口腔、心理、饮食、静脉、健康教育等针对性护理，同时加强医护人员专业知识培训及个人防护、落实各项消毒隔离措施陪。 结果159例手足口病患儿痊愈，未出现脑炎、休克、肺出血等严重并发症。无医护人员和患儿家属发生院内感染。 结论掌握手足口病的治疗和护理及院内感染控制要点，可有效减少并发症的发生，提高治愈率，降低病死率，避免交叉感染。 [关键词]手足口病； 临床护理； 院内感染 [中图分类号] R473.5[文献标识码]A [文章编号] 1005-0515（2010）-11-199-01 Explorelation of clinical care for foot-mouth disease and control of nosocomial infection GUO Ji-ping,ZHANG Yi-min （Number 3 Hospital of Jiujiang, Jiujiang332000, China） [Abstract]ObjectiveTo explore the methods and measures for clinical care of foot-mouth disease and control of nosocomial infection., as to Provide relative data and materials for making regulatory care and and nosocomial infection.Methods159 foot-mouth patients had been collected between April and October 2008,who had been given special cares including mouth, psychological,dietary,intravenous and health education.,and also strengthened training and personal protection of the health care, implemented the various disinfection and isolation measures.ResultsAll the 159 patients recovered, with no serious complications like Encuphalitis,shock,pulmonary hemorrhage occurred. Neither no health care and family members got infected. ConclusionsMastering the key points of treat and care for foot-mouth disease and nosocomial infection,which will help reducing the complication effectively, as well as improving the cure rate, decreasing mortality and avoiding cross infection. [Keywords] Foot-mouth disease； Clinical care； Nosocomial infection 手足口病是1957年首次在新西兰发现的一种新型传染病,多发生于5岁以下的婴幼儿，临床表现为以发热和手、足、口腔等部位出现小的炎性水疱和皮疹为主要特征，少数患者可并发呼吸道感染、心肌炎、肺水肿、脑炎和无菌性脑膜炎等，个别重症患儿病情进展快，可导致死亡。本病主要由肠道病毒引起，最常见的病原体为肠道埃可病毒71型（EV71）及科萨奇病毒A16（CA16），感染性强，全年均可发生，多见于3～10月，而以4～7月为流行高峰。常呈暴发流行，主要流行区域为人群集中的场所，如托幼机构、小学等。目前对于手足口病无特效的治疗方法，除主要在临床上给予对症治疗和精心细致的护理以外，指导婴幼儿及其家长从日常卫生保健、消毒隔离等方面着手做好预防措施也至关重要。我院自2008年4～10月共收治159例手足口病患儿，经过精心的治疗和护理，规范消毒隔离措施，取得较为满意的效果，现将结果报道如下。 1 资料与方法 1.1一般资料：