手术室医务人员锐器刺伤与防护对策

Puncture by pointed instrument in medical staff in operating room and related protection strategies

目的探讨我院手术室医务人员在工作中造成锐器刺伤的原因及防护对策。方法回顾性分析2007—2009年发生在手术室工作场所产生的锐器刺伤的主要因素，并提出有效的预防控制措施。结果通过系统的职业安全防护教育，有效降低利器损伤的发生率；锐器刺伤后采取恰当的应急处理和职业暴露防护追踪可避免感染传染性疾病．根据不同暴露级别对刺伤者进行心理辅导，可缓解受伤者的心理压力。结论加强手术室工作人员的医院感染及职业安全教育，培养良好的工作习惯，科学的医院感染控制，预防锐器伤所致的感染。

Objective To explore the reasons and the protection strategies for puncture by pointed instrument in medical staff at work in operating room. Methods The major reasons for puncture by pointed instrument in medical staff at work in operating room from2007 to 2009 were retrospectively analyzed. Effective prevention measures were made. Results The rate of puncture by pointed instrument was effectively lower after systemic education on occupational safety and prevention. Proper emergency management and tracking of prevention against occupational exposure avoided the incidence of infectious diseases. The mental stress could be alleviated in the victims after they received psychological assistance according to the levels of exposure. Conclu- sions Education on nosocomial infection and occupational safety should be strengthens in the medical staff in operating room. The staff should regulate their medical pratice and operation. Control of nosocomial infection need to be enhanced and puncture-induced infections should be prevented.