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目的 评价医院消毒方法 ,对消毒观念的改革提出思考。方法 对医院空气消毒实用效果、消毒液使用情况、外科换药镊与剪刀、气管切开用物、湿化瓶、灌肠筒、环境及医护手等污染状况作调查。结果 空气紫外线或电子灭菌灯照射消毒与不消毒空气菌落数无明显差别 ,空气净化器消毒效果较好 ;消毒液使用中浪费大、效果差 ;其他物品的监测发现有不同程度的污染。结论 医院花费大量资金用于空气与环境的常规消毒 ,本文认为实际效果不明显。而与患者直接接触的高危医疗物品如换药、气管切开用品和医务人员手的消毒灭菌不够严密 ,必须改变观念 ,把有限的卫生资源用在最关键的地方 ,如多安装洗手设备、逐步实行空气净化、使用一次性医疗用品 ,这样必将获得最大的社会效益
Objective To evaluate the methods of disinfection in hospitals and to think about the reform of disinfection ideas. Methods The investigation was carried out on the practical effects of air disinfection, the use of disinfectant, surgical dressing tweezers and scissors, tracheostomy, humidified bottle, enema tube, environment and medical hand. Results There was no significant difference in airborne sterilizing or non-sterilizing air irradiation between air ultraviolet and electronic sterilizing lamps. The air purifier had a good disinfection effect. The sterilizing liquid used was wasted and the effect was poor. Other items were found to have different levels of pollution. Conclusion The hospital spends a lot of money for routine disinfection of the air and the environment, this paper that the actual effect is not obvious. However, disinfection and sterilization of high-risk medical items that are in direct contact with patients, such as dressing change, tracheostomy supplies and medical staff, are not rigorous enough. Concepts must be changed and limited health resources should be used in the most critical areas, such as installing more hand washing equipment, The gradual implementation of air purification, the use of disposable medical supplies, so will surely get the greatest social benefits