加温至40℃复方碘醇复配型皮肤消毒剂在手术患者中的应用

Application of compound iodine alcohol skin disinfectant heated to 40℃using among operation patients

目的：探讨复方碘醇复配型皮肤消毒剂加温至40℃在手术患者中的应用效果。方法将100例手术患者按随机数字表法随机分成观察组50例与对照组50例，观察组将复方碘醇复配型皮肤消毒剂加温至40℃，对照组采用常温法，比较两组消毒剂有效碘醇的含量及手术区皮肤消毒结果及患者寒颤发生率。结果两组检测结果均在指定的有效范围之内，观察组加温后有效碘含量（0．102±0．0015）％（g/ml），乙醇含量（68．1±1．54）％（g/ml），均低于对照组，差异有统计学意义（t值分别为-12．88，-4．594；P＜0．05）。两组患者皮肤消毒后采样均无细菌生长。皮肤消毒10 min后，观察组患者寒颤发生率为4．0％，对照组寒颤发生率为24．0％，两组比较差异有统计学意义（χ2＝8．306，P＜0．01）。结论将复方碘醇复配型皮肤消毒剂加温至40℃，对有效碘、乙醇浓度及手术区皮肤消毒效果影响小，手术患者寒颤发生率低。

Objective To observe the effect of compound iodine alcohol skin disinfectant heated to 40℃using among operation patients .Methods 100 operation patients were randomly divided into two groups：the test group （n=50 cases, accepting heated Anerdian） and the control group （n=50 cases, accepting no heated Anerdian ） .Effectiveness of the iodine content , alcohol content , of bacterial culture and the rate of chill were compared between the two groups .Results In the test group accepting heated Anerdian , the effectiveness of the iodine content was （0.102 ±0.0015）%（g/ml）, the effectiveness of the alcohol content was （68.1 ± 1.54）%（g/ml）.The differences were significant （t =-12.88, -4.594, respectively;P 〈0.05）.No bacterial culture of the skin sample had been found between the two groups .10min after the sterilization, 4.0%patients in the test group and 24.0%patients in the control group had chill .There was a significant difference between groups （χ2 =8.306,P〈0.01）.Conclusions Compound iodine alcohol skin disinfectant heated to 40℃can conveniently and effectively increase the degree of comfort of the operation patients .