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中文摘要: 的 研究儿童支气管镜相关性院内感染率，以及术前鼻腔冲洗对儿童支气管镜相关性院内感染的干预作用。方法 选取2017年1月1日~12月31日在我院未进行支气管镜检查2 945例和进行支气管镜检查的1 269例住院患儿，对实验组（支气管镜检查组）和对照组（无支气管镜检查组）患儿院内感染发生率进行统计学分析。2018年1月1日~1月31日172例拟进行支气管镜检查的患儿随机平均分为实验组（术前鼻腔冲洗组）和对照组（无术前鼻腔冲洗组），对两组院内感染发生率的发生进行统计学分析。结果 儿童支气管镜检查组和无支气管镜检查组院内感染发生率分别为21.37%和11.38%。儿童支气管镜术前鼻腔冲洗组和无术前鼻腔冲洗组院内感染发生率分别为15.12%和20.93%。结论 支气管镜检查是儿童院内感染发生的高危因素，术前鼻腔冲洗可能是降低儿童支气管镜相关性院内感染的有效手段之一。
Abstract:OBJECTIVE To research nosocomial infection after paediatric bronchoscope, and investigate the interventional effect of nasal douche before bronchoscope. METHODS To retrospect 2945 pediatric inpatients without bronchoscope and 1269 pediatric inpatients with bronchoscope from January 1st 2017 to December 31st 2017, incidence rates of nosocomial infection in pediatric inpatients with and without bronchoscope had been investigated and compared statistically. 96 pediatric cases who need to do bronchoscope were divided into experimental group who had been douched noses and control group who had not been intervention randomly before bronchoscpe, incidence rates of nosocomial infection between two groups had been compared statistically. RESULTS Incidence rates of nosocomial infection in paediatric inpatients with and without bronchoscope are 21.3% and 11.5% respectively, P<0.05, there is a statistical differece. Incidence rates of nosocomial infectio of experimental group (with nasal douche before bronchoscope) and control group(without nasal douche before bronchoscope) were 21.1 and 15.8% respectively, P<0.05, there is a statistical differece. CONCLUSION Bronchoscope is a high risk factor of peadiatric nosocomial infection. Nasal douche could be a effective measure to depress incidence rate of bronchoscope-associated mosocomial infection.
文章编号：3201903010 中图分类号：R1-9 文献标志码：
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