综合ICU患者医院感染目标性监测研究

医院感染率是评价医疗机构医疗护理质量和患者安全的一项重要指标。医院感染的监测重点为感染率高，耐药率高的病房，因此现在美国取消了全院综合性监测，主要实施目标性监测。通过有效的监测，美国医院感染控制效果研究（SENIC）发现可以使医院感染降低32％。为降低医院感染的发生，我院于2007年1-12月对ICU进行了医院感染的目标性监测，现报道如下。

Application of gastric tube insertion by left recumbent position for patients with exanimation

Objective To explore the practicability and clinical significance of gastric tube insertion by left recumbent position for patients with exanimation. Methods We divided 100 patients with exanimation who needed gastric tube insertion into the routien group and the left-recumbent-position group with 50 cases in each group randomly and adopted routine insertion method and insertion by left recumbent position.The success rate of tube insertion and incidence of complications were observed in the two groups.Results The one-time success rate of insertion was higher while the incidence of complication was lower in the left-recumbent-position group compared with the control group (P<0.05). Conclusion Gastric tube insertion by left recumbent position proved to be a desirable method in that it could increase the onetime success rate of insertion and decrease the complications.So it worth widely applying.