CAJ | 학술논문

目的：探索外科手安全可靠的术前消毒方法。方法分常规组和试验组进行对比分析，常规组采用全程刷洗手臂和全程一遍消毒液涂抹，试验组采用刷手搓臂并增加手的二次消毒。分别对刷手过程和消毒过程进行过程监测、细菌检测结果和消毒剂用量对比分析。结果常规组的操作皮肤刺激性大且容易造成皮肤损伤，操作者接受性差，消毒剂用量5ml，涂抹不完全，皮肤干燥快，细菌检测虽合格但染菌率达20％．试验组皮肤清洁彻底，操作方便，消毒剂用量（9．1±0．5）ml，细菌检测均为无菌生长。结论刷手搓臂、全程消毒的基础上加手二次消毒的方法，消毒效果可靠、操作安全方便、可接受性强，适合临床应用。
목적：탐색외과수안전가고적술전소독방법。방법분상규조화시험조진행대비분석，상규조채용전정쇄세수비화전정일편소독액도말，시험조채용쇄수차비병증가수적이차소독。분별대쇄수과정화소독과정진행과정감측、세균검측결과화소독제용량대비분석。결과상규조적조작피부자격성대차용역조성피부손상，조작자접수성차，소독제용량5ml，도말불완전，피부간조쾌，세균검측수합격단염균솔체20％．시험조피부청길철저，조작방편，소독제용량（9．1±0．5）ml，세균검측균위무균생장。결론쇄수차비、전정소독적기출상가수이차소독적방법，소독효과가고、조작안전방편、가접수성강，괄합림상응용。
Objective To explore the safer and more reliable methods of surgical disinfection before surger-y.Methods A contrast analysis was made between the conventional group and the experimental group .In the conven-tional group,a full-process of brushing hands and arms were made and the disinfectants were embrocated only once while a secondary disinfection of hands besides brushing hands and arms was added to the experimental group .The process of brushing hands and disfection were monitored respectively , bacteria detection results and dosage of disinfection in the process of brushing hands and disinfection were analyzed contrastively .Results The operation of the conventional group that the disinfectant dosage was 5ml,the daub was incomplete ,the skin was dry quickly had strong stiulation to the skin and was difficult to be accepted by the operators while in the experimental group ,the skin was cleaned completely ,the operation was convenient ,the dosage of disinfection was (9.1 ±0.5) ml,and the bacteria testing were sterile .Conclusion The method of brushing hands and rubing arms through the first process of disinfection combined with the secondary disinfection was applied for clinical application for its reliable disinfectant effect , safety and convenient operation and good acceptance .