[Objective]To investigate risk factors of blood-borne injury among supply room staff and the control measures so as to enhance the self-protection awareness of supply room staff and attract the attention of leaders at all levels to the occupational protection of supply room staff.[Methods]A self-designed questionnaire was adopted to investigate 220 supply room workers with different length of service,different title,suffering from blood-borne injury in a hospital.[Results]There were 220 supply room workers suffering from blood-borne occupational hazards,including 34 head nurses,48 nurses,78 employed nurse,40 care workers and 20 retaining workers,without blood-borne disease case.The professional workers with service length >3 years were significantly better than non-professional workers with service length ≤3 years in suffering from blood-borne injury(χ2=36.7,P<0.01).[Conclusion]Attention from hospital and proper management measures can prevent the supply room workers from suffering from blood-borne diseases.

目的 分析伤口类型对进展期肿瘤患者生存期的影响.方法 随访2004 年 1 月～2006 年 12 月我院收治的进展期肿瘤患者 209 例,其中有伤口者 92 例、无伤口者 117 例,将伤口类型分为肿瘤相关性伤口、压力性溃疡伤口及其他伤口 3 类.应用 Kaplan-Meier 曲线和 Cox 回归模型显示生存情况,探讨伤口类型对生存期的影响.结果 本组患者中位生存期为 45 d,其中有伤口患者生存期为 21 d,无伤口患者为 56 d.单因素分析显示,3种伤口类型均为影响进展期癌症患者生存期的有效预后因素;多因素统计分析显示,压力性溃疡伤口及其他伤口为影响进展期患者生存期的有效预后因素.结论 伤口类型有助于明确进展期肿瘤患者的生存期,可以为制定适宜的治疗方案和临终关怀提供重要依据.

医院中心供应室担负着临床各科室各种医疗器械的回收、清洗、消毒、灭菌和发放工作.工作人员经常接触各种污染物品,如何加强工作人员的防护能力和保证工作人员的身体健康,显得尤为重要.3年来,通过观察与分析我院供应室工作环境对供应室人员造成的危害并采用各种干预措施,避免了生物因素、物理因素、化学因素等污染.不但加强了供应室工作人员的防范意识,而且提高了工作质量并节约了医疗成本.

Objective: To evaluate the effects of enteral nutrition in preventing postsurgical gastropareis syndrome(PGS) after subtotal gastrectomy of gastric cancer patients.Methods:A total of 200 gastric cancer patients after subtotal gastrectomy were divided into 2 groups randomly:study group(n=105) and control group(n=95).Study group was early remedied by enteral nutrition after operation.Control group was remedied by traditional venous infusion.Results:After operation,1 case(0.9%) was diagnosed as PGS in study group and 7 cases(7.3%)were diagnosed as PGS(P0.05) in control group.There was significant difference between two groups.Conclusion: The effects of enteral nutrition in preventing PGS after subtotal gastrectomy of gastric cancer patients were good.

[目的]探讨肿瘤病人化疗安全管理措施。[方法]回顾分析1998年1月—2004年12月48例肿瘤病人门诊化疗中的不安全因素,并制定相应的改进措施和预防策略。[结果]在门诊化疗工作中,不断提高服务质量和护理质量,规范技术操作和门诊工作程序,没有发生一起严重的化疗差错。[结论]肿瘤病人门诊化疗只要管理到位,医疗安全落实,仍是一种方便,经济、实惠、快捷的治疗方法,尤其对贫困地区病人有着实用价值。

2003年3月以来,陕西省肿瘤医院消毒供应室从寻找问题开始,改进管理措施,分计划、实施、检查、总结四个阶段,对消毒供应室进行管理,简称PDCA管理.在较短时间内,消毒供应工作逐渐规范化,达到了<陕西省消毒供应室质量管理检查标准>要求,主要做法与体会介绍如下.

目的探讨肿瘤病人院内感染部位与治疗方案的关系.方法对作者单位1998年3月～1999年3月90例肿瘤患者经手术、放疗、化疗后感染发生部位进行回顾性分析.结果手术治疗以呼吸道、皮肤感染为主,放疗以放疗照射野内相应组织器官感染为主,尤以呼吸道及消化道感染最多,化疗以呼吸道及消化道感染为主.结论院内感染好发部位与治疗方案有关;为减少肿瘤病人院内感染对易感染部位进行必要的防治.