爱护佳洗手液与传统皂液刷手消毒效果的对照研究

Sterilizing Effect and Evaluation of Avagard Surgical Washing Liquid and Orthodox Surgical Hand Antisepsis Method

目的比较外科医护人员使用传统的皂液刷手加消毒法与爱护佳免刷洗手方法前后的细菌菌落计数以及主观评价,探讨更适用于临床工作者的外科手消毒方法。方法对医院手术室医护人员共123人次随机分成实验组和对照组,洗手后进行手术;在洗手前、洗手后即刻以及洗手后2h分别作手部采样观察菌落数变化。结果实验组60名医护人员洗手前平均手部菌落数(4.64±4.87)CFU/cm2,洗手后即刻菌落数(0.05±0.16)CFU/cm2,洗手后2h菌落数(0.02±0.10)CFU/cm2;对照组63名医护人员洗手前平均手部菌落数(4.10±4.03)CFU/cm2,洗手后即刻菌落数(0.08±0.26)CFU/cm2,洗手后2h菌落数(0.49±1.31)CFU/cm2;两组间各项评价指标的差异均有统计学意义(均P<0.01)。结论爱护佳皮肤清洁剂+免洗外科手消毒液,有助于洗手后长时间抑菌,并且在皮肤舒适度、挥发速度、整体接受程度方面均优于传统外科手消毒方法。

OBJECTIVE To evaluate the clinical application of the two surgical hand antisepsis methods on hand sterilizing effect. METHODS Totally 123 medical staff of operating theater were divided into Avagard surgical washing liquid （60） and orthodox surgical hand antisepsis （63） groups at random. The samples were derived from fingers and cultured before, just after and 2h after sterilization. RESULTS The colony counts were 4.64 ± 4.87, 0.05±0.16 and 0.02±0.10 CFU/cm2 , respectively in avagard surgical washing liquid group; vs 4.10±4.03, 0.08±0. 26 and 0. 49±1.31 CFU/cm2, respectively, in orthodox surgical hand antisepsis group. There were statistical differences of the cultures of the two groups （P〈0.05）. CONCLUSIONS Avagard surgical washing liquid is valued for its long time sterilizing effect; and its volatile speed and degree of comfort of skin outweigh the orthodox surgical hand antisepsis method.