本文關(guān)鍵詞： 外科手消毒 不同時(shí)間節(jié)點(diǎn) 帶菌監(jiān)測(cè)　出處：《基因組學(xué)與應(yīng)用生物學(xué)》2017年04期 　論文類型：期刊論文

【摘要】：比較外科手消毒前免刷手與刷手兩種方法對(duì)術(shù)中不同時(shí)間節(jié)點(diǎn)手部帶菌情況的影響。選取在本院工作的手術(shù)室醫(yī)務(wù)人員共96名,使用計(jì)算機(jī)產(chǎn)生隨機(jī)數(shù)字表將研究對(duì)象隨機(jī)分配為無刷手組和刷手組各48名,無刷手組研究對(duì)象在洗手時(shí)不刷手,刷手組研究對(duì)象正常刷手,比較免刷手和刷手洗手法在使用同種消毒液后及術(shù)中不同時(shí)間節(jié)點(diǎn)的手不消毒效果、手部皮膚菌落種類和醫(yī)務(wù)人員對(duì)于手部皮膚的評(píng)價(jià)。經(jīng)研究發(fā)現(xiàn),無刷手組和刷手組研究對(duì)象術(shù)中不同時(shí)間節(jié)點(diǎn)手部存活菌落數(shù)比較無顯著統(tǒng)計(jì)學(xué)差異(p0.05)。兩組各時(shí)間節(jié)點(diǎn)手部皮膚均有細(xì)菌檢出,主要以凝固酶陰性葡萄球菌、棒狀桿菌為主,腸球菌次之,兩組比較無顯著統(tǒng)計(jì)學(xué)差異(p0.05)。無刷手組對(duì)于手部皮膚的評(píng)價(jià)要明顯高于刷手組(p0.05),差異有統(tǒng)計(jì)學(xué)意義。外科手消毒時(shí),免刷手能夠達(dá)到與常規(guī)刷手法同樣的消毒效果,消毒時(shí)效能維持3 h以上,減免刷手步驟,操作簡(jiǎn)單且使用方便,對(duì)手部皮膚刺激較小,可在臨床廣泛推廣使用。
[Abstract]:To compare the influence of the two methods of no-brush hand and brushing hand before disinfecting the surgical hand on the bacterial infection of the hands at different time points during the operation. 96 medical staff in the operating room were selected to work in our hospital. The subjects of the study were randomly assigned to the brushless hands group and the brushless hand group, respectively. The subjects in the brushless hand group did not brush their hands while washing their hands, and the subjects in the brushless hand group did not brush their hands normally. The effects of hand disinfecting with brushless hand and brush hand wash were compared after the use of the same disinfectant and at different time points during the operation, the types of skin colonies of the hand and the evaluation of the hand skin by the medical staff. There was no significant difference in the number of viable colonies of the hand at different time points during operation between the brushless hand group and the brushless hand group. Bacteria were detected in the skin of the hand at each time point in the two groups, mainly coagulase negative staphylococci and corynebacterium. Enterococcus followed, there was no significant statistical difference between the two groups. The evaluation of the hands skin in the brushless hand group was significantly higher than that in the brushing hand group, and the difference was statistically significant. The brushless hand can achieve the same disinfection effect as the conventional brush manipulation. The disinfection effect can be maintained for more than 3 hours, the operation is simple and easy to use, and it can be widely used in clinical practice.
【作者單位】： 泰山醫(yī)學(xué)院附屬萊蕪醫(yī)院手術(shù)室;泰山醫(yī)學(xué)院附屬萊蕪醫(yī)院普外科;
【基金】：泰山醫(yī)學(xué)院附屬萊蕪醫(yī)院資助
【分類號(hào)】：R472.1

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