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目的了解助产士职业暴露现状,探讨有效防护措施。方法通过回顾性调查,了解某医院产科2007年1月-2011年12月助产士发生职业暴露情况。结果调查期间,该医院共发生职业暴露186例,其中产科助产士34例,占18.27%。暴露种类以锐器伤为主,占21例;暴露来源以血源性暴露为主,主要为乙型肝炎患者的血液、羊水,其次为梅毒患者的血液羊水。结论助产士职业暴露多数发生在治疗操作中,应加强助产士标准预防措施,采取防护措施。
Objective To understand the occupational exposure status of midwives and to explore effective protective measures. Methods A retrospective survey was conducted to understand the occupational exposure of midwives from January 2007 to December 2011 in a hospital. Results During the investigation, there were 186 cases of occupational exposure in the hospital, including 34 obstetric midwives, accounting for 18.27%. The main types of exposure were sharp wounds, accounting for 21 cases. The main source of exposure was blood-derived exposure, mainly blood and amniotic fluid of hepatitis B patients, followed by blood amniotic fluid of syphilis patients. Conclusion The majority of midwife occupational exposure occurred in the treatment operation. Midwifery standard precautions should be strengthened and protective measures should be taken.