CAJ | 학술논문

目的：探讨气管内套管效果最好的清洗消毒方法，降低院内感染的发生率，改善气管切开患者的预后。方法：选择已使用6 h 的气管内套管200套，将其随机等分为对照组和试验组，试验组采用多酶清洁液集中机器清洗干净后，采用高压蒸汽灭菌法消毒；对照组内套管煮沸10 min后清洁去污，再煮沸消毒20 min。比较两组气管内套管消毒后染菌率。结果：试验组消毒后内套管染菌率低于对照组（P ﹤0．05）。结论：高压蒸汽灭菌不仅灭菌效果好，保证了患者的安全；并且相对手工清洗煮沸消毒更能节省人力物力，减轻了护理人员的工作量，值得在临床推广应用。
목적：탐토기관내투관효과최호적청세소독방법，강저원내감염적발생솔，개선기관절개환자적예후。방법：선택이사용6 h 적기관내투관200투，장기수궤등분위대조조화시험조，시험조채용다매청길액집중궤기청세간정후，채용고압증기멸균법소독；대조조내투관자비10 min후청길거오，재자비소독20 min。비교량조기관내투관소독후염균솔。결과：시험조소독후내투관염균솔저우대조조（P ﹤0．05）。결론：고압증기멸균불부멸균효과호，보증료환자적안전；병차상대수공청세자비소독경능절성인력물력，감경료호리인원적공작량，치득재림상추엄응용。
Objective:To explore the methods for cleaning and disinfecting endotracheal tube has the best effect,reduce the incidence of nosocomial infec-tion,and improve the prognosis of the patients with tracheotomy. Methods:Have been used for 6 h endotracheal tubes in 200 cases were divided into control group and experimental group,the experimental group used multi enzyme cleaning solution concentration machine after cleaning,high pressure steam sterili-zation and disinfection;the control group with the casing for 10 min clean the dirt,then boil 20 min. The amount of bacterium contamination compared endo-tracheal tube cleaning before and after disinfection. Results:The bacterial contamination of inner sleeve of experimental group was lower than the control group;there was significant differences between the two groups(P ﹤ 0. 05). Conclusion:Autoclave sterilization not only to ensure the safety of the patient, but also the relative manual cleaning sterilized by boiling could save manpower,reduce the workload of nurses,worthy of clinical application.