聚維酮碘預(yù)防氣管插管細菌寄殖研究
發(fā)布時間：2019-02-15 00:03
【摘要】：目的觀察使用聚維酮碘溶液降低氣管插管全麻患者氣管內(nèi)細菌的污染程度的可行性。方法 100例在氣管插管全麻下行擇期手術(shù)的患者隨機分為試驗組(n=50)和對照組(n=50),試驗組患者術(shù)前0.25%聚維酮碘溶液深漱口,同時插入的氣管導(dǎo)管均在0.25%的聚維酮碘溶液浸泡過后干燥無菌;對照組患者術(shù)前只用0.9%生理鹽水深漱口,插入的無菌氣管導(dǎo)管未做任何抗菌處理。在麻醉過程中的不同時間點無菌拭子取樣,之后細菌計數(shù)培養(yǎng)和鑒定。結(jié)果含漱后試驗組患者口腔內(nèi)細菌數(shù)明顯低于對照組(P0.05),并且沒有檢測到耐甲氧西林金黃色葡萄球菌(MRSA)。拔除氣管導(dǎo)管后再次口咽部細菌培養(yǎng)也提示聚維酮碘溶液有持續(xù)的抑菌殺菌作用(P0.05),試驗組處理方法對于減少口咽部細菌下移、黏附、定植氣管內(nèi)表面更有意義(P0.05)。結(jié)論聚維酮碘溶液用作術(shù)前口腔護理和氣管導(dǎo)管抗菌處理,可有效預(yù)防氣管內(nèi)細菌污染。
[Abstract]:Objective to observe the feasibility of using povidone iodine solution to reduce bacterial contamination in tracheal intubation. Methods 100 patients undergoing elective operation under tracheal intubation under general anesthesia were randomly divided into two groups: the experimental group (n = 50) and the control group (n = 50). The patients in the test group were gargled with 0.25% povidone iodine solution before operation. The trachea catheter inserted at the same time was dried and sterile after immersion in 0.25% povidone iodine solution. In the control group, only 0.9% saline deep gargle was used before operation, and the sterile tracheal catheter was not treated with any antimicrobial treatment. The sterile swabs were sampled at different time points during anaesthesia, and then the bacteria were cultured and identified. Results the number of bacteria in oral cavity in the test group after gargling was significantly lower than that in the control group (P0.05), and no methicillin-resistant Staphylococcus aureus (MRSA). Was detected in the test group (P0.05). The culture of bacteria in oropharynx after extubation of trachea catheter also indicated that povidone iodine solution had a continuous bactericidal effect (P0.05). The inner surface of trachea was more significant (P0.05). Conclusion povidone iodine solution can effectively prevent bacterial contamination in trachea as preoperative oral nursing care and tracheal catheter antimicrobial treatment.
【作者單位】： 廣東省東莞市第五人民醫(yī)院;
【分類號】：R472.1
[Abstract]:Objective to observe the feasibility of using povidone iodine solution to reduce bacterial contamination in tracheal intubation. Methods 100 patients undergoing elective operation under tracheal intubation under general anesthesia were randomly divided into two groups: the experimental group (n = 50) and the control group (n = 50). The patients in the test group were gargled with 0.25% povidone iodine solution before operation. The trachea catheter inserted at the same time was dried and sterile after immersion in 0.25% povidone iodine solution. In the control group, only 0.9% saline deep gargle was used before operation, and the sterile tracheal catheter was not treated with any antimicrobial treatment. The sterile swabs were sampled at different time points during anaesthesia, and then the bacteria were cultured and identified. Results the number of bacteria in oral cavity in the test group after gargling was significantly lower than that in the control group (P0.05), and no methicillin-resistant Staphylococcus aureus (MRSA). Was detected in the test group (P0.05). The culture of bacteria in oropharynx after extubation of trachea catheter also indicated that povidone iodine solution had a continuous bactericidal effect (P0.05). The inner surface of trachea was more significant (P0.05). Conclusion povidone iodine solution can effectively prevent bacterial contamination in trachea as preoperative oral nursing care and tracheal catheter antimicrobial treatment.
【作者單位】： 廣東省東莞市第五人民醫(yī)院;
【分類號】：R472.1
【參考文獻】
相關(guān)期刊論文 前3條
1 謝明英;申建維;劉顯暢;;抗感染中心靜脈導(dǎo)管臨床應(yīng)用的研究[J];中華醫(yī)院感染學(xué)雜志;2014年21期
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