ATP生物荧光法评价两种外科洗手方法的消毒效果

Disinfection effects of two different types of hand-washing methods by ATP bioluminescence assay

目的应用ATP生物荧光法对两种外科洗手方法的消毒效果进行评价,以提高外科手卫生效率。方法 191名待洗手手术人员随机分为研究组106名和对照组85名。研究组采用揉搓法进行洗手,对照组采用传统刷手法进行洗手,2组均采用ATP生物荧光法实施监测,比较揉搓法和刷洗法洗手后的手卫生合格率。结果研究组手卫生合格率84.9%(90/106),高于对照组的84.7%(72/85),但2组差异无统计学意义(P>0.05)。结论揉搓法和刷洗法均是有效的外科术前洗手方式,且揉搓法简便、省时,可操作性强,易于掌握运用。

Objective T o c omp a r e th e d is in f e c t io n e f fe c ts of two ty p e s o f s u rg ic a l h a n d -wa s h -ing methods by ATP bioluminescence assay, so a s to im p ro v e th e e f f ic ie n c y o f s u rg ic a l h a n dwashing. Methods A to ta l of 191 su rg e o n s a n d n u r s e s we r e r a n d omly div id e d in to 2 g ro u p s .The study （ n = 106） group us ed hand rubbing me thods a nd the cont rol group （ n = 8 5 ） a d o p te d hang scrubbing methods,wi th th e s ame l iq u id sk in c le a n e r a n d su rg ic a l h a n d d i s in f e c ta n t . infection efects were tested after hand wastiing by ATP bioluminescence assay. Results I n th estudy group,the r e wer e 84. 9% （90/106） r eaching the s tanda rd of the di s inf e ct ion. In the groupB ,there w ere 84.7% （72/85） reaching the standard of the di sinfect ion. There were no signi fi -cant differences between the two groups （ P 〉0. 05） . Conclusion T h e tw o ty p e s of surgica lhand-washing （hand rubbing and hand scrubbing ）could achieve good disinfection effect,b u t th e hand rubbing ae simpler and mor e time s aving than hand scrubbing.