發(fā)布時(shí)間：2018-05-26 06:31

  本文選題：麻醉時(shí)點(diǎn) + 婦產(chǎn)科　； 參考：《中華醫(yī)院感染學(xué)雜志》2016年12期

【摘要】：目的研究婦產(chǎn)科手術(shù)患者不同麻醉時(shí)點(diǎn)麻醉用品的微生物污染狀況。方法選擇2014年5月-2015年5月醫(yī)院收治的60例婦產(chǎn)科手術(shù)患者,對(duì)手術(shù)所用麻醉儀器實(shí)施采樣,采樣點(diǎn)為螺紋管接口、氧氣流量調(diào)節(jié)鈕、靜脈三通旋轉(zhuǎn)閥、麻醉機(jī)呼出氣入口和麻醉機(jī)呼吸回路氧氣入口,對(duì)60例手術(shù)患者于時(shí)點(diǎn)1(麻醉前)、時(shí)點(diǎn)2(麻醉10min后)、時(shí)點(diǎn)3(麻醉2h后)實(shí)施采樣,共采集900份樣本;對(duì)樣本進(jìn)行細(xì)菌培養(yǎng),觀察細(xì)菌培養(yǎng)結(jié)果,統(tǒng)計(jì)不同麻醉時(shí)點(diǎn)細(xì)菌分布狀況及切口感染的感染率;采用SPSSl6.0軟件對(duì)數(shù)據(jù)進(jìn)行統(tǒng)計(jì)分析。結(jié)果時(shí)點(diǎn)1靜脈三通旋轉(zhuǎn)閥的采樣無細(xì)菌生長(zhǎng),時(shí)點(diǎn)2檢驗(yàn)出46份陽性,合格率為23.3%,時(shí)點(diǎn)3檢驗(yàn)出60份陽性,均不合格,其余4個(gè)采樣點(diǎn)各個(gè)時(shí)點(diǎn)的細(xì)菌數(shù)均在合格范圍內(nèi);60例婦產(chǎn)科患者手術(shù)切口感染8例,切口感染率為13.3%;各個(gè)時(shí)點(diǎn)細(xì)菌構(gòu)成中,占比最大的是凝固酶陰性葡萄球菌,其次為棒桿菌屬。結(jié)論隨著麻醉時(shí)間的不斷延長(zhǎng),婦產(chǎn)科手術(shù)患者發(fā)生微生物污染的概率明顯增加,在麻醉過程中,具有致病微生物污染,導(dǎo)致切口感染的危險(xiǎn),應(yīng)建立相關(guān)的監(jiān)督機(jī)制,落實(shí)感染控制的相關(guān)措施,從而減少因麻醉導(dǎo)致的醫(yī)院感染的發(fā)生。
[Abstract]:Objective to study the microbial contamination of anesthetic products at different time points in patients undergoing gynecology and obstetrics surgery. Methods from May 2014 to May 2015, 60 patients with gynecology and obstetrics surgery were selected. The anesthetic instruments used in the operation were sampled. The sampling points were threaded tube interface, oxygen flow adjusting knob, and three-way venous rotary valve. The exhalation inlet of anaesthesia machine and the oxygen inlet of the breathing loop of anesthesis-machine were sampled at 1 hour (before anaesthesia, 2 hours after anaesthesia) and 3 (2 hours after anesthesia), and a total of 900 samples were collected, and the samples were cultured by bacteria. The results of bacterial culture were observed and the distribution of bacteria and the infection rate of incision infection were calculated at different anesthetic points. The data were analyzed by SPSSl6.0 software. Results there was no bacterial growth in the sampling of the three-way valve at time point 1, 46 samples were positive at point 2, the qualified rate was 23.3and 60 samples were positive at time point 3, all of them were unqualified. The number of bacteria at each time point in the other 4 sampling points were all within the eligible range of 60 patients with gynecology and obstetrics, 8 cases were infected by incision, and the infection rate of incision was 13.3.The bacterial composition of each time point was the largest proportion of coagulase negative staphylococci. The next is the genus Corynebacterium. Conclusion with the prolongation of anesthesia time, the probability of microbial contamination in patients undergoing gynaecology and obstetrics surgery is obviously increased. Implement infection control measures to reduce nosocomial infection caused by anesthesia.
【作者單位】： 聊城市第四人民醫(yī)院婦產(chǎn)科;聊城市第四人民醫(yī)院麻醉科;聊城市腦科醫(yī)院手術(shù)室;
【基金】：山東省中青年科學(xué)家科研獎(jiǎng)勵(lì)基金資助項(xiàng)目(2010BSB14076)
【分類號(hào)】：R197.323

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