三种不同清洗方法的术前皮肤消毒效果对比研究

发布时间：2018-06-24 04:07

本文选题：术前清洗 + 术前抗菌沐浴　；参考：《中华医院感染学杂志》2016年20期

【摘要】：目的对于不同清洗方法之后的术前皮肤消毒效果进行比较研究,以证明术前抗菌沐浴的必要性。方法从动物实验、皮肤现场实验、临床观察统计3个方面对3种清洗方法进行比较分析。结果使用抗菌皂液进行清洗后再消毒对于普通皮肤表面细菌和致病菌的杀灭效果对比使用肥皂水清洗组和清水冲洗组均有明显的提高。动物模拟手术实验中,抗菌皂液清洗组术后愈合过程中无感染,手术伤口均正常愈合,未出现不良反应,其他两组均有少量感染现象。人体皮肤模拟现场实验中,使用肥皂水清洗和使用抗菌皂液清洗后消毒效果均好于仅使用清水清洗后消毒的效果,抗菌皂液清洗后5h对皮肤表面细菌仍然有作用,且消毒效果最好。临床观察表明,实施术前抗菌沐浴后感染率稍有下降,由3.8%下降至0.9%。结论术前抗菌沐浴可以提高术前皮肤消毒的效果,是一种简单经济易行的降低手术部位感染率的方法。
[Abstract]:Objective to compare the efficacy of preoperative skin disinfection with different cleaning methods in order to prove the necessity of preoperative antibacterial bath. Methods three cleaning methods were compared and analyzed from three aspects: animal experiment, skin field experiment and clinical observation and statistics. Results the efficacy of disinfection after cleaning with antibacterial soap solution on the surface bacteria and pathogenic bacteria of common skin was significantly higher than that of soapy water cleaning group and clean water washing group. In the animal simulated operation experiment, there was no infection during the healing process in the antibacterial soap cleaning group, the wound healed normally, and no adverse reaction appeared. There was a little infection in the other two groups. In the simulated field experiment of human skin, the disinfection effect after cleaning with soap water and antibacterial soap solution was better than that with only clean water, and the antibacterial soap solution still had effect on bacteria on skin surface 5 hours after cleaning. And the disinfection effect is the best. The clinical observation showed that the infection rate decreased slightly, from 3.8% to 0.9%. Conclusion Antimicrobial bath before operation can improve the effect of skin disinfection before operation and is a simple and economical method to reduce the infection rate of surgical site.
【作者单位】：廊坊市第四人民医院感染控制科;河北医科大学第一医院感染管理科;华北石油管理局总医院医院感染管理科;
【基金】：卫计委指令基金资助项目(20160205)
【分类号】：R472.1

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