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1、综合性医院妇产科医院感染危险因素分析与护理对策倪颖王良凤上海交通大学医学院附属瑞金医院妇产科(200025)摘要目的：调查和分析综合性医院妇产科医院感染发生状况并制定相应的护理措施来控制和降低医院感染的发生率。方法：采用回顾性调查方法，对2005年1月－12月3150例妇产科出院病人(妇科1910；产科1240)进行院内感染的调查、统计和分析。结果：妇科发生院内感染57例，感染率为2.98％；妇科病房中高龄患者、化疗患者是医院感染的高危人群，住院时间越长感染率越高，常见感染部位依次为呼吸道，泌尿道，胃肠道等。产科发生院内感染10例，感染率为0.81％，妊娠合并并发
2、症的患者是高危人群，常见感染部位依次为呼吸道，泌尿道，宫腔等。结论：严格执行无菌操作，加强病房管理、基础护理和健康教育，缩短留置尿管时间和住院天数，以降低妇产科的医院感染。关键词综合性医院；妇产科；医院感染；护理对策AnalysisofriskfactorsofNosocomialInfectionsInObstetricsandGynecologyWardinpolyclinicanditsNursingStrategyNiying(RuijinHospital,ShanghaiJiaotongMedicalUniversity,Shanghai200025,C
3、hina)Abstract:ObjectiveToinvestigatethenosocomialinfectionstatusinourobstetricsandgynecologywardandproposenursingstrategy,toreducetheincidenceofinfectionofthehospital.MethodNosocomialinfectionrateswereinvestigatedretrospectivelyin3,150patientsdischargedfromtheobstetricsandgynecologywa
4、rdofourhospitalbetweenJan2005andDec2005.ResultsHospitalinfectionoccurredin57casesingynecologyward(2.98%57/1910),theelderpatients,chemotherapypatientshavehighrisktogetthenosocomialinfection,thelongerwhohospitalizedthehigherhewouldget.Thecommonsitesofnosocomialinfectionwererespiratorytr
5、act,urinarytractgastrointestinaltractrespectively.Hospitalinfectionoccurredin10casesinobstetricsward(0.81%10/1240),thesyndromegestationshavehighrisktogetthenosocomialinfection,thecommonsitesofnosocomialinfectionwererespiratorytract,urinarytractuterinelacunarespectively.ConclusionsThep
6、ossiblemeasuresofreducingnosocomialinfectionweretoreinforcedisinfectionandsterilization,strengthenhospitalmanagement、basicHightideagainstCCPbloodyanTomb,CommunistPartymembersandpartoftheexposedTombareavacatedbyprogressiveyouth.IvisitedinBeijingin1985whenitwasoldundergroundcomrade,sist
7、erofYaoZhiyingYaoMuzheng(thenDeputyDirectoroftheexternaltrademagazineforthepromotionofinternationaltrade,deshengmenWai,theReednursingandhealtheducation,shortenthetimeofureterandhospitalization.Keywordspolyclinic;obstetricsandgynecology;nosocomialinfection;nursingstrategy随着医学发展和技术的进步，医
8、院感染的控
