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目的了解医院医务人员锐器伤发生情况,分析造成锐器伤的原因,制定相应的防护措施。方法通过监测上报的方式,对发生锐器伤的医务人员分布、致伤锐器种类、受伤环节等因素进行调查。结果 2008-2012年共登记上报的783名医务人员锐器伤中,护士发生锐器伤337人次,占43.04%,其次是实习医师147人次,占18.77%;造成锐器伤的主要器具是输液头皮针和注射器针头,分别占29.37%和26.70%;锐器伤发生的主要环节是手术中的切开或缝合以及各种注射后拔针时,分别占17.88%和15.07%;涉及阳性的血源性病原体血清学的锐器伤占47.77%。结论各种针头、手术中的刀具及缝针是造成锐器伤的主要锐器,医务人员在临床工作中应熟悉锐器的操作流程,严格执行操作规范,降低锐器伤的发生。
Objective To understand the occurrence of sharp injuries of medical staff in hospitals, analyze the causes of sharp injuries and make corresponding protective measures. Methods By monitoring the way of reporting, investigating the distribution of medical staff, the types of injured sharps, the injuries and other factors. Results Among the 783 medical staff reported during 2008-2012, sharp injuries were reported to 337 nurses, accounting for 43.04%, followed by 147 intern trainees, accounting for 18.77%. The main equipment causing sharp injuries was infusion Scalp needles and syringe needles, accounting for 29.37% and 26.70% respectively. The main components of sharps injuries were 17.88% and 15.07% respectively after incision or suturing in operation and injection after various injections. The positive blood The serological sharp wounds of source pathogen accounted for 47.77%. Conclusion All kinds of needles, surgical tools and needles are the main sharps for sharp injuries. Medical staff should be familiar with the operating procedures of sharps in clinical practice, and strictly enforce the operation rules to reduce the occurrence of sharp injuries.