现代临床护理
現代臨床護理
현대림상호리
MODERN CLINICAL NURSING
2013年
1期
56-58
,共3页
神经外科重症监护病房%中药煮沸熏蒸空气消毒法%紫外线灯照射空气消毒法
神經外科重癥鑑護病房%中藥煮沸熏蒸空氣消毒法%紫外線燈照射空氣消毒法
신경외과중증감호병방%중약자비훈증공기소독법%자외선등조사공기소독법
neurosurgical intensive care unit%Chinese herbal fumigation%ultraviolet light exposure
目的比较神经外科重症监护病房中药煮沸熏蒸空气消毒法与紫外线灯照射空气消毒法效果。方法神经外科重症监护病房消毒前地面及桌面均采用0.02%84消毒液擦拭消毒后,对照组病房采用紫外线灯照射消毒法,观察组病房采用中药(包括香薷、桂枝、连翘、公丁香)煮沸熏蒸空气消毒法,各进行30次。比较两种消毒方法消毒前及消毒后0 h、l h、2 h、4 h、8 h、12 h神经外科重症监护病房细菌检测情况。结果两种消毒方法消毒后0 h、l h室内空气自然菌均下降达到Ⅱ类环境卫生标准,组间各时间点比较,差异无统计学意义(均P>0.05);紫外线照射消毒后lh空气细菌数逐渐增多,2 h后持续超标,中药煮沸熏蒸消毒后各时间点细菌数均维持在合格水平(符合卫生学标准),消毒后2 h、4 h、8 h、12 h中药煮沸熏蒸空气消毒法细菌消除率明显优于紫外线灯照射消毒法,组间各时间点比较,差异具有统计学意义(均P<0.05或P<0.01)。结论中药煮沸熏蒸消毒法效果明显优于紫外线灯照射消毒法,具有消毒有效时间长,杀菌效果显著及安全、无毒的优点,可在有人工作情况下进行,值得临床推广应用。
目的比較神經外科重癥鑑護病房中藥煮沸熏蒸空氣消毒法與紫外線燈照射空氣消毒法效果。方法神經外科重癥鑑護病房消毒前地麵及桌麵均採用0.02%84消毒液抆拭消毒後,對照組病房採用紫外線燈照射消毒法,觀察組病房採用中藥(包括香薷、桂枝、連翹、公丁香)煮沸熏蒸空氣消毒法,各進行30次。比較兩種消毒方法消毒前及消毒後0 h、l h、2 h、4 h、8 h、12 h神經外科重癥鑑護病房細菌檢測情況。結果兩種消毒方法消毒後0 h、l h室內空氣自然菌均下降達到Ⅱ類環境衛生標準,組間各時間點比較,差異無統計學意義(均P>0.05);紫外線照射消毒後lh空氣細菌數逐漸增多,2 h後持續超標,中藥煮沸熏蒸消毒後各時間點細菌數均維持在閤格水平(符閤衛生學標準),消毒後2 h、4 h、8 h、12 h中藥煮沸熏蒸空氣消毒法細菌消除率明顯優于紫外線燈照射消毒法,組間各時間點比較,差異具有統計學意義(均P<0.05或P<0.01)。結論中藥煮沸熏蒸消毒法效果明顯優于紫外線燈照射消毒法,具有消毒有效時間長,殺菌效果顯著及安全、無毒的優點,可在有人工作情況下進行,值得臨床推廣應用。
목적비교신경외과중증감호병방중약자비훈증공기소독법여자외선등조사공기소독법효과。방법신경외과중증감호병방소독전지면급탁면균채용0.02%84소독액찰식소독후,대조조병방채용자외선등조사소독법,관찰조병방채용중약(포괄향유、계지、련교、공정향)자비훈증공기소독법,각진행30차。비교량충소독방법소독전급소독후0 h、l h、2 h、4 h、8 h、12 h신경외과중증감호병방세균검측정황。결과량충소독방법소독후0 h、l h실내공기자연균균하강체도Ⅱ류배경위생표준,조간각시간점비교,차이무통계학의의(균P>0.05);자외선조사소독후lh공기세균수축점증다,2 h후지속초표,중약자비훈증소독후각시간점세균수균유지재합격수평(부합위생학표준),소독후2 h、4 h、8 h、12 h중약자비훈증공기소독법세균소제솔명현우우자외선등조사소독법,조간각시간점비교,차이구유통계학의의(균P<0.05혹P<0.01)。결론중약자비훈증소독법효과명현우우자외선등조사소독법,구유소독유효시간장,살균효과현저급안전、무독적우점,가재유인공작정황하진행,치득림상추엄응용。
Objective To compare the effects of Chinese herbal fumigation and ultraviolet light exposure on air disinfection in neurosurgical intensive care unit.Methods The floors and the tables in the rooms of ICU were all disinfected using 0.02%84 disinfectant.The air disinfection was performed in the rooms using Chinese herbal(elsholtziae,ramulus cinnamomi,forsythia suspense,flos caryophylli)fumigation as the experiment group and those using ultraviolet light exposure as the control group,both for 30 times.The two disinfection methods were compared before air disinfection,at hours 0,1,2,4,8 and 12 in terms of bacteria tests.Results The air quality on natural bacteria in both groups met the standard of Class Ⅱ Environmental Health Criteria at hour 0,l after air disinfection,without significant difference between the two groups at each time point(P>0.05).In the control group,the bacteria began to grow in number one hour after ultraviolet light exposure and overgrew two hours after air disinfection.In the experiment group,the bacteria grew less,never exceeding the standard level at all time points.The disinfection effect of the experimental group was all significantly better than that of the control group at the time points of 2 h,4 h,8 h,12 h(P<0.05 or P<0.01). Conclusions Chinese herbal fumigation is superior to the UV light irradiation disinfection.It is safe and harmless even in case of medical staff working in the unit.