简化药浴在干细胞移植患者体表消毒中的应用

Application of convenctional and simplify medicate bath in skin disinfection of patients need hematopoietic stem cell transplantation

目的：比较碘伏药浴与葡萄糖酸氯己定简化药浴在造血干细胞移植患者体表消毒中的应用效果.方法：选择2011年6月～2012年6月收治的52例造血干细胞移植患者为对照组进行磺伏药浴,选择2012年7月～2013年6月收治的63例造血干细胞移植患者为试验组进行葡萄糖酸氯己定消毒液药浴.比较两组患者在消毒效果、药浴舒适度、水温耐受度及护士平均工作时间方面的差异.结果：两种消毒液在消毒效果方面无明显差异,但在药浴舒适度、水温耐受度方面试验组优于对照组,且护士平均工作时间短于对照组.结论：葡萄糖酸氯己定简化药浴能够提高患者舒适度,减轻护士工作量,值得临床推广应用.

Objective：To compare the effect of conventional medicate bath based on iodine and simple medicate bath based on chlorhexidine gluconate in skin disinfection of which need hematopoietic stem cell transplantation patients.Methods：52 patients with hematopoietic were treated by stem cell transplantation from June 2011 to June 2012 as control group,were iodine volt medicated bath.63 patients with hematopoietic stem cell transplant patients from July 2012 to June 2013 as experiment group,used chlorhexidine gluconate disinfection liquid bath.The patients of two groups bathed on iodine and chlorhexidine gluconate respectively,compared the effect of disinfection,the comfort of the bath,the tolerance of the water temperature,the average work hours of the nurses of the two groups.Results：The two groups have no significant diffence in the effect of disinfection,but the experimental group was better than the control group in the comfort of the bath,the tolerance of the water temperature and the average work hours of the nurses were shorter than control group.Conclusion：Current simple medicate bath based on chlorhexidine gluconate could improve the comfort of the patients and decrease the work hours of the patients,it＇s worthy in clinical application.