两种气管内套管清洗消毒方法的对比

摘要

目的：探讨气管内套管效果最好的清洗消毒方法，降低院内感染的发生率，改善气管切开患者的预后。方法：选择已使用6 h 的气管内套管200套，将其随机等分为对照组和试验组，试验组采用多酶清洁液集中机器清洗干净后，采用高压蒸汽灭菌法消毒；对照组内套管煮沸10 min后清洁去污，再煮沸消毒20 min。比较两组气管内套管消毒后染菌率。结果：试验组消毒后内套管染菌率低于对照组（P ﹤0．05）。结论：高压蒸汽灭菌不仅灭菌效果好，保证了患者的安全；并且相对手工清洗煮沸消毒更能节省人力物力，减轻了护理人员的工作量，值得在临床推广应用。%Objective:To explore the methods for cleaning and disinfecting endotracheal tube has the best effect,reduce the incidence of nosocomial infec-tion,and improve the prognosis of the patients with tracheotomy. Methods:Have been used for 6 h endotracheal tubes in 200 cases were divided into control group and experimental group,the experimental group used multi enzyme cleaning solution concentration machine after cleaning,high pressure steam sterili-zation and disinfection;the control group with the casing for 10 min clean the dirt,then boil 20 min. The amount of bacterium contamination compared endo-tracheal tube cleaning before and after disinfection. Results:The bacterial contamination of inner sleeve of experimental group was lower than the control group;there was significant differences between the two groups(P ﹤ 0. 05). Conclusion:Autoclave sterilization not only to ensure the safety of the patient, but also the relative manual cleaning sterilized by boiling could save manpower,reduce the workload of nurses,worthy of clinical application.