酸性氧化电位水对危重患者置管感染的预防效果

发布时间：2018-03-05 07:17

本文选题：危重患者　切入点：酸性氧化电位水　出处：《中华医院感染学杂志》2016年04期 　论文类型：期刊论文

【摘要】：目的研究酸性氧化电位水对危重患者置管感染的预防作用,为临床置管感染的预防提供依据。方法选择2013年1月-2015年6月住院患者1 708例,按随机数表法将其分为研究组和对照组,每组各854例,对照组患者使用生理盐水和聚维酮碘对经口气管置管、留置导尿管及中心静脉置管进行消毒,每天消毒3次,对于出现感染的患者适当增加干预次数;研究组使用酸性氧化电位水对经口气管置管、留置导尿管及中心静脉置管进行消毒,每天消毒2次;观察并记录干预后两组患者的感染率及消毒前后平均菌落数目,结果数据采用SPSSl6.0软件进行统计分析。结果患者总感染率研究组为6.0%、对照组患者为28.1%,两组比较差异有统计学意义(P0.05);两组患者干预前平均菌落数相比较差异无统计学意义,消毒后研究组患者平均菌落数为16CFU/cm2、杀灭率为80.0%;干预10min后平均菌落数为2CFU/cm2、杀灭率为97.5%,与对照组相比较,干预后研究组平均菌落数明显较少,差异有统计学意义(P0.05)。结论对于危重患者置管感染的预防与控制中,使用酸性氧化电位水的消毒作用明显。
[Abstract]:Objective to study the preventive effect of acidic oxidized potential water on the infection of critically ill patients with catheterization, and to provide the basis for the prevention of clinical catheterization infection. Methods 1708 inpatients from January 2013 to June 2015 were selected. The patients in the control group were treated with normal saline and povidone iodine to sterilize the oral tube, indwelling catheter and central venous catheter, three times a day. For the patients with infection, the intervention times should be increased. The patients in the study group were sterilized with oral tube, indwelling catheter and central venous catheter twice a day with acidic oxidizing potential water. The infection rate and the average colony number before and after disinfection were observed and recorded. Results the total infection rate of patients in the study group was 6.0 and that in the control group was 28.1.The difference between the two groups was statistically significant (P 0.05), and there was no significant difference between the two groups before intervention. After disinfection, the average colony number was 16CFU / cm ~ 2 and the killing rate was 80.0.The mean colony number was 2CFU / cm _ 2 and the killing rate was 97.5am after 10 minutes of intervention. Compared with the control group, the average colony number of the study group was significantly less than that of the control group. Conclusion in the prevention and control of catheterization infection in critically ill patients, the use of acid oxidized potential water has an obvious disinfection effect.
【作者单位】：滨州市中心医院消毒供应中心;滨州市中心医院感染管理科;滨州市中心医院ICU;
【基金】：山东省自然科学基金资助项目(Y2006C02)
【分类号】：R187.2

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