CAJ | 학술논문

目的：探讨将聚维酮碘纱布擦拭消毒法用于更换腹膜透析外接短管中的效果。方法2014年1－3月便利选取第二军医大学长海医院腹膜透析中心更换腹膜透析外接短管的患者72例,采用随机数字表法分成常规组和研究组各36例,常规组采取传统浸泡消毒法更换短管,研究组采取聚维酮碘擦拭消毒法更换短管。比较两组更换短管所需的时间、成本、外接短管与钛接头连接处的表面菌落数,以及1周内腹膜透析相关并发症的发生情况。结果研究组和对照组更换短管的成本分别为4．37元/次和8．35元/次,耗费时间分别为(2．12±0．39)、(12．03±1．35)min,差异有统计学意义(P ＜0．05)；两组消毒后发生短管表面菌落生长者各1例,换管后1周内均无腹膜透析相关并发症发生。结论聚维酮碘纱布擦拭消毒法用于腹膜透析外接短管更换能够显著缩短更换时间、降低费用,是一种省时省力且安全的消毒方法。
목적：탐토장취유동전사포찰식소독법용우경환복막투석외접단관중적효과。방법2014년1－3월편리선취제이군의대학장해의원복막투석중심경환복막투석외접단관적환자72례,채용수궤수자표법분성상규조화연구조각36례,상규조채취전통침포소독법경환단관,연구조채취취유동전찰식소독법경환단관。비교량조경환단관소수적시간、성본、외접단관여태접두련접처적표면균락수,이급1주내복막투석상관병발증적발생정황。결과연구조화대조조경환단관적성본분별위4．37원/차화8．35원/차,모비시간분별위(2．12±0．39)、(12．03±1．35)min,차이유통계학의의(P ＜0．05)；량조소독후발생단관표면균락생장자각1례,환관후1주내균무복막투석상관병발증발생。결론취유동전사포찰식소독법용우복막투석외접단관경환능구현저축단경환시간、강저비용,시일충성시성력차안전적소독방법。
Objective To study the clinical efficacy of Povidone-iodine friction sterilization methods in the replace-ment of peritoneal dialysis external short tube.Methods By convenience sampling,72 patients were selected and e-qually divided into control group and experimental group.The patients in control group operated with traditional dipping sterilization methods and experimental group operated with povidone-iodine friction sterilization methods to replace the short tube.The replacement time,cost consumed,external total number of bacterial colony between ex-ternal short tube and titanium joints and incidence of peritonitis during one week were compared between the two groups.Results The cost of short tube replacement in observation group and control group were 4.37yuan per time and 8.35 yuan per time respectively,and the time consumption were(2.12±0.39)and(12.03±1.35)min respective-ly (P <0.05).There is only 1 case of bacterial colony on the surfaces of the external short tube in each group with no incidence of peritonitis and relevant complication occurred during one week.Conclusion The application of povi-done-iodine friction sterilization methods to the replacement of external short tube can significantly shorten the time needed for the replacement and also lower the cost,which is not only a time-saving and labor-saving but also a safe sterilization method.