结论对重症监护病房进行噪声监测及降噪干预十分必要，且效果显著。

Conclusion The monitoring and noise-abatement measures in ICU are necessary and effective.

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目的：监测重症监护治疗病房患者中分离的革兰阴性杆菌耐药状况，探讨对耐药菌感染的治疗策略。

Objective:To observe the Gram-negative bacterial resistance in patients in Intensive Care Unit(ICU) and to discuss how to treat infections caused by these resistant strains.

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方法按照卫生部《 消毒技术规范》对重症监护病房的环境、物体表面消毒后或使用中进行采样生物监测， 空气采样用平板暴露法，医务人员手和物体表面用棉拭子法。

METHODS Air sampling adopted by plain board exposure and hand and object appearance by cotton wool method according to Disinfection Technique Regulation published by Ministry of Health.

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