某三级口腔专科医院口腔医师职业暴露情况调查分析

doi:10.12337/zgkqjxjyzz.2025.02.005

中国口腔医学继续教育杂志 ›› 2025, Vol. 28 ›› Issue (2): 89-95.DOI: 10.12337/zgkqjxjyzz.2025.02.005

某三级口腔专科医院口腔医师职业暴露情况调查分析

丁建芬^#, 胡凯^#, 辛子熙, 徐丹慧, 林海燕, 朱洪平^*

北京大学口腔医学院·口腔医院医院感染管理与疾病控制处,国家口腔医学中心,国家口腔疾病临床医学研究中心,口腔生物材料和数字诊疗装备国家工程研究中心

发布日期:2025-03-31
通讯作者: ^*朱洪平,联系方式：010-82195912,电子邮箱：zhuhongping@cndent.com,通讯地址：北京市海淀区中关村南大街22号,100081
作者简介:^#共同第一作者
基金资助:
北京大学口腔医院管理科研基金项目（项目编号：2024GLJJ09）

Investigation and Analysis of Occupational Exposure of Dentists in A Tertiary Stomatology Hospital

Jianfen Ding^#, Kai Hu^#, Zixi Xin, Danhui Xu, Haiyan Lin, Hongping Zhu^*

Department of Infection Management and Disease Control, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing, P.R. China.

Published:2025-03-31
Contact: ^*Hongping Zhu. Tel: 010-82195912. Email: zhuhongping@cndent.com. Address: No.22, Zhongguancun South Avenue, Haidian District, Beijing 100081, P.R. China.
About author:^#These authors contibute equal to this manuscript.
Supported by:
Peking University Stomatological Hospital management research fund project (No. 2024GLJJ09)

摘要/Abstract

摘要： 目的: 分析某三级口腔专科医院口腔医师职业暴露发生情况,为职业暴露防护措施改进提供有效策略。方法: 采用回顾性调查方法,对2019年1月1日至2023年12月31日该院口腔医师职业暴露登记和随访情况进行调查分析。结果: 此期间该院口腔医师共发生职业暴露379例,其中本院医师113例、本科实习医师84例、研究生实习医师140例、进修医师42例,发生率分别为4.47%、6.27%、6.55%、4.39%,工龄≤1年和实习医师是发生职业暴露的主要人群;13例和2例。发生主要环节前3 位的是：治疗过程/手术操作环节（器械划伤或刺伤）、治疗环节（碰撞放置于器械台支架上的锐器）和收拾处理器械环节,主要暴露器械为注射针头、车针、缝合针和超声工作尖。结论: 须加强培训,提高对职业暴露易发生场所、不当放置的锐器等高危因素的识别意识,减少职业暴露发生。

关键词: 口腔医师, 职业暴露, 实习医师, 锐器伤, 注射针头师

Abstract: Objective: To understand the occurrence of occupational exposure of dentists in a tertiary stomatological hospital, and to provide effective strategies for improving occupational exposure protection measures. Methods: The occupational exposure registration and follow-up of dentists from January 1, 2019 to December 31, 2023 were investigated and analyzed by retrospective investigation. Results: During this period, a total of 379 cases of occupational exposure occurred among dental doctors in the hospital, including 113 cases of doctors in the hospital, 224 cases of interns and 42 cases of students, the incidence rates were 4.47%, 6.44% and 4.39%, respectively. The interns and doctors with less than one year of working experience were the main population of occupational exposure. The cases of occupational exposure in outpatient department, operating room, oral emergency department and inpatient ward were 304, 60, 13 and 2 cases, respectively The top three leading causes before major incidents are: surgical procedures (instrument-related lacerations or punctures), treatment processes (sharp instrument placement on instrument trays causing collisions), and instrument cleaning and storage procedures. Conclusions: It is necessary to strengthen training and improve awareness of identifying high-risk factors such as places where occupational exposure is prone to occur and improperly placed sharp objects, in order to reduce the occurrence of occupational exposure.

Key words: dentist, occupational exposure, medical intern, sharp injury, injection needle

丁建芬, 胡凯, 辛子熙, 徐丹慧, 林海燕, 朱洪平. 某三级口腔专科医院口腔医师职业暴露情况调查分析[J]. 中国口腔医学继续教育杂志, 2025, 28(2): 89-95.

Jianfen Ding, Kai Hu, Zixi Xin, Danhui Xu, Haiyan Lin, Hongping Zhu. Investigation and Analysis of Occupational Exposure of Dentists in A Tertiary Stomatology Hospital[J]. Chinese Journal of Stomatological Continuing Education, 2025, 28(2): 89-95.

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某三级口腔专科医院口腔医师职业暴露情况调查分析

Investigation and Analysis of Occupational Exposure of Dentists in A Tertiary Stomatology Hospital

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