三种消毒剂用于针灸部位皮肤消毒效果的对比研究

Comparison study on skin disinfection efficacy of acupuncture site by three kinds of disinfectants

目的对针灸治疗常用的3种皮肤消毒剂消毒效果进行对比评价,为临床科学选择消毒剂提供数据支持。方法将接受针灸治疗的72名患者随机分成3组,分别使用75%酒精、复合碘消毒液、20 g/L葡萄糖酸氯已定醇作为皮肤消毒剂,进行针灸部位消毒前后效果对比试验。记录各组患者3个部位消毒前后的菌落数,计算杀菌率和杀灭对数值并进行统计分析。结果复合碘消毒液和20 g/L葡萄糖酸氯已定醇对针灸部位皮肤消毒效果均优于75%酒精,复合碘消毒液和20 g/L葡萄糖酸氯已定醇差异不明显,从长时间抑菌效果来看,复合碘消毒液优于75%酒精和20 g/L葡萄糖酸氯已定醇。结论复合碘消毒液对针灸部位皮肤的消毒效果最好,适合临床推广。

Objective To compare the skin disinfection efficacy of acupuncture site by three kinds of disinfectants, so as to provide data basis for choosing reasonable disinfectants in clinical process. Methods A total of 72 patients who received acupuncture therapy were divided into 3 groups. Different groups of patients used 75% ethanol, compound iodine and 20 g/L chlorhexidine gluconate as their skin disinfectants. We evaluated the disinfection efficacy of different disinfectants by comparing the colony count of acupuncture site before and after disinfection. Meanwhile, we calculated the germicidal rate and average killing logarithm value and conducted data analysis.. Results The disinfection efficacy of compound iodine and 20 gilL chlorhexidine gluconate were better than 75% ethanol. No significant difference was found between compound iodine and 20 g/L chlorhexidine gluconate. For prolonged antibacterial effect, compound iodine was better than 75% etha- nol and 20 g/L chlorhexidine gluconate. Conclusions The disinfection efficacy of compound iodine was the best. It was good to apply in clinical practice.