CAJ | 학술논문

目的：比较不同消毒剂对口腔综合治疗台水路（DUWLs）的消毒效果。方法将18台 DUWLs 随机分成4组，分别为过氧化氢消毒剂（H2 O2）组、次氯酸钠消毒剂（NaClO）组、过氧化氢银离子消毒剂（Sanosil）组、蒸馏水冲洗（DW）组。采用对应消毒剂对 DUWLs 进行消毒，采集三用枪和高速手机水样，比较消毒前后细菌数量。结果消毒前各组细菌数量比较，差异无统计学意义（均 P ＞0．05），各组 DUWLs 细菌数严重超标（均＞3000 CFU／mL）。除DW 组外，消毒后各组 DUWLs 细菌数量大幅度下降（均＜100 CFU／mL），消毒后细菌数量低于消毒前（均P ＜0．001）。3种消毒剂消毒后1周，不同时间各组细菌数量比较，差异有统计学意义（三用枪：Day1—Day5，均 P ＜0．05；高速手机：Day2、Day3和 Day5，均 P ＜0．05）。消毒后第3天三用枪（H2 O2组和 NaClO 组）、消毒后第4天高速手机（H2 O2组和 NaClO 组）、消毒后第5天三用枪和高速手机（Sanosil 组）细菌数量均超过美国疾病预防控制中心提出的口腔医疗卫生用水标准。3组消毒剂在消毒后1周细菌数量均超过或接近消毒前水平。结论3种消毒剂均可有效降低水路中的细菌载量。与其他消毒剂相比，Sanosil 在消毒后抑制细菌生长更具优势。
목적：비교불동소독제대구강종합치료태수로（DUWLs）적소독효과。방법장18태 DUWLs 수궤분성4조，분별위과양화경소독제（H2 O2）조、차록산납소독제（NaClO）조、과양화경은리자소독제（Sanosil）조、증류수충세（DW）조。채용대응소독제대 DUWLs 진행소독，채집삼용창화고속수궤수양，비교소독전후세균수량。결과소독전각조세균수량비교，차이무통계학의의（균 P ＞0．05），각조 DUWLs 세균수엄중초표（균＞3000 CFU／mL）。제DW 조외，소독후각조 DUWLs 세균수량대폭도하강（균＜100 CFU／mL），소독후세균수량저우소독전（균P ＜0．001）。3충소독제소독후1주，불동시간각조세균수량비교，차이유통계학의의（삼용창：Day1—Day5，균 P ＜0．05；고속수궤：Day2、Day3화 Day5，균 P ＜0．05）。소독후제3천삼용창（H2 O2조화 NaClO 조）、소독후제4천고속수궤（H2 O2조화 NaClO 조）、소독후제5천삼용창화고속수궤（Sanosil 조）세균수량균초과미국질병예방공제중심제출적구강의료위생용수표준。3조소독제재소독후1주세균수량균초과혹접근소독전수평。결론3충소독제균가유효강저수로중적세균재량。여기타소독제상비，Sanosil 재소독후억제세균생장경구우세。
Objective To compare the disinfection efficacy of different disinfectants on dental unit waterlines (DUWLs). Methods 18 sets of DUWLs were randomly divided into 4 groups,and disinfected or treated with hydrogen peroxide (H2 O2 )disinfectant,sodium hypochlorite (NaClO)disinfectant,hydrogen peroxide silver ion disinfectant(Sanosil),and distilled water (DW)respectively.Water specimens from triple syringes and high-speed handpieces were taken,bacterial count before and after disinfection were compared.Results Before disinfection,no significant differences in bacterial counts were found among four groups (all P >0.05),bacterial counts of DUWLs of all groups severely exceeded the standard(all>3 000 CFU/mL).After disinfection,except DW group,bacterial counts of DUWLs of the other groups declined dramat-ically (all <100 CFU/mL),bacterial count after disinfection were all obviously lower than before disinfection (all P <0.001 ).One week after disinfection,bacterial counts among three disinfectant groups in different time periods were statisti-cally different (triple syringes:Day1—Day5,all P <0.05;high-speed handpieces:Day2,Day3 and Day5,all P <0.05). Day3 after disinfection of triple syringes by H2 O2 and NaClO,Day4 after disinfection of high-speed handpieces by H2 O2 and NaClO,and Day5 of triple syringes and high-speed handpieces by Sanosil all exceeded the standard of Center for Disease Control and Prevention of America.One week after disinfection,bacterial counts of three disinfection groups all exceeded or approximated to that before disinfection.Conclusion Three types of disinfectants can all effectively reduce bacterial load in DUWLs.Compared with other disinfectants,Sanosil has advantage of inhibiting bacterial growth after disinfection.