目的 探讨普通外科手术患者发生院内感染与手术室护理管理的相关性，为有效控制院内感染提供理论依据。 方法 收集普通外科2008年4月－2009年6月接受手术治疗的150例患者为对照组，2009年7月－2011年9月接受手术治疗的150例患者作为干预组，分析可能影响院内感染的手术室护理因素。 结果 出院后随访6个月，对照组感染率为20.67%，高于干预组的8.00%（P＜0.05）；普通外科手术医院感染与手术时间、术前抗生素应用、有无参观人员等手术室因素密切相关。 结论 在手术室护理工作中，要采取一系列手术室护理干预措施，以提高护理管理质量，降低普通外科手术的院内感染发生。
ObjectiveTo evaluate the occupational exposures and protective condition of medical staff in operating room for interventional therapy. MethodsFrom September to November in 2014, 46 medical staff in the operating room for interventional therapy were adopted to complete the occupational exposures and protection situation survey. After that, we analyzed and scored all the questionnaires. ResultsThe awareness of the medical staff about occupational exposures and occupational protection in the operating room was low; the awareness rates of doctors, nurses, and radiology technicians were 74.2%, 63.0% and 66.7%, respectively. The general condition of implement of occupational protection measures of the medical staff was bad, and the average rate of the doctors, nurses and radiology technicians was 51.3%, 43.9%, and 15.2%. ConclusionThe implement rates of occupational protection measures of the medical staff in Operating Room for interventional therapy differ much from the awareness rates. The rates in doctors and nurses are higher than that in radiology technicians. We should strengthen the education of radiation damage and protection measures in doctors, and enhance the training of iatrogenic injuries related knowledge in clinical radiology technicians to reduce occupational hazards.
Objective To investigate the opinions of operating room nurse (ORN) on enhanced recovery after surgery (ERAS). Methods A questionnaire survey was performed among 215 ORNs in West China Hospital. There were 10 males and 205 females at age of 33.4±8.84 years. Results A total of 154 ORNs (71.6%) thought that we already had very good ERAS theory but we still needed more practice. Thirty-four ORNs(15.8%) thought that the application of ERAS was poor in our clinic comparing to other countries.A percentage of 84.2% (181/215) ORNs thought the criteria to judge whether the ERAS succeed or not should be average days of hospitalization, patients' feeling, and experience and social satisfactions. Besides, 78.1% (168/215) ORNs selected team building as the key point of ERAS success. There were 91.2% (196/215) ORNs who believed expert consensus and ERAS guide should be worked out and propagandized through academic forum or conference in order to popularize the ERAS. Conclusion The theory of ERAS has already been accepted by almost all the clinicians and team building is the best way to make ERAS work well.
ObjectiveTo research on the efficient and scientific management for clean operation room. MethodsWe invited a specialist team to deal with the problems of clean operation rooms in our hospital found by a third-party monitoring organization in June 2012. Through making regulations, installing equipment, strengthening management and distributing responsibilities, we tried to correct such problems as unstandardized number of dust particles, pressure, temperature and humidity. ResultsWithin two months of reforming, under multi-disciplinary cooperation, environmental monitoring of the clean operation room reached the management standard. ConclusionStrengthening the management of operation staff, logistics, environment and equipment can assure that the clean operation room conforms to the national management standard. This can effectively prevent hospital infection and assure medical safety. Multi-disciplinary cooperation plays a very important role through the process.
目的 探讨层流手术室动态空气菌落数超标的高危因素。 方法 回顾分析2010年3月－2011年11月168台次特别洁净层流手术室动态空气样品细菌培养结果的资料，依据层流手术室动态环境下空气样品是否超过10个菌落形成单位（CFU）/m3将168例空气样品细菌培养的资料分别命名为超标组和正常组。超标组有56台次，正常组有112台次。将超标组与正常组就有关手术持续的时间、参与手术的医务人员数量、参观人数、手术过程中开门的次数、是否为污染手术、手术及麻醉设备是否在手术过程中有搬动、是否为接台手术、患者术前1 d是否更衣洗澡以及麻醉方式等因素进行分析比较。 结果 层流手术室动态空气菌落数超标与参观手术的人数、术中开门次数、手术类型、术中有无设备搬动及患者术前1 d是否进行更衣洗澡等因素有关（P＜0.05），而与手术持续时间、参加手术的人员数量、是否接台手术及麻醉方式等无关（P＞0.05）。 结论 参观手术的人数＞3人、术中开门次数＞10次、手术类型为污染手术、术中有设备搬动及患者术前1 d未进行沐浴更衣是层流手术室动态空气菌落数超标的高危因素。