医师在注射过程中如何避免高危职业暴露——论注射针冒的重要性

Preventing high-risk occupational exposure during injection: The critical importance of needle recapping

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DOI 10.12208/j.ijcr.20250277
刊名
International Journal of Clinical Research
年,卷(期) 2025, 9(6)
作者
作者单位

1 湖北省洪湖市中医院皮肤美容科 湖北洪湖,2 湖北医药学院 湖北十堰,3 广西南宁华韵中西门诊部 广西南宁,4 南宁市卫生健康人才与技术服务中心 广西南宁,5 湖北省洪湖市中医院 湖北洪湖

摘要
本文系统探讨了注射过程中医务人员高危职业暴露的防护策略,重点论证注射针冒的核心防护作用。研究表明,32.7%的针刺伤与针头回套操作不当直接相关,而规范使用注射针冒可显著降低风险(某肿瘤专科医院数据显示针刺伤率下降67%)。当前注射针冒存在设计缺陷(如回套困难、密封性不足),导致基层医疗机构使用率仅56.3%。通过改良针帽设计(如增加方向标识与锁扣识别区,专利号 ZL2023304892281),结合单手回套技术培训、三级管理制度及智能化升级(如物联网实时监测),可全面提升防护效能。未来需从设备优化、制度化培训及跨学科协作多维度降低职业暴露风险,保障医务人员安全。
Abstract
This paper systematically examines strategies for preventing high-risk occupational exposure during injections, emphasizing the critical role of needle recapping. Studies indicate that 32.7% of needlestick injuries are directly related to improper recapping, while standardized use of needle caps significantly reduces risk (data from a cancer hospital shows a 67% decrease in injury rates). Current design flaws (e.g., difficult recapping, poor sealing) contribute to low adoption rates (56.3% in primary care). Enhanced cap design (e.g., directional markers and locking recognition zones, Patent No. ZL2023304892281), combined with one-handed recapping training, tiered management systems, and smart upgrades (e.g., IoT real-time monitoring), can holistically improve protection. Future efforts must integrate device optimization, institutional training, and interdisciplinary collaboration to mitigate occupational exposure risks.
关键词
职业暴露;注射针冒;防护培训;标准预防;针刺伤
KeyWord
Occupational Exposure; Needle Recapping; Protective Training; Standard Precautions; Needlestick Injuries
基金项目
页码 31-37
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易生彬,易品,林绍文,易学龙*,邓志军*. 医师在注射过程中如何避免高危职业暴露——论注射针冒的重要性 [J]. 国际临床研究杂志. 2025; 9; (6). 31 - 37.

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