邻苯二甲醛与戊二醛用于纤支镜消毒的对比研究  

COMPARATIVE STUDY ON ORTHO-PHTHALALDEHYDE AND GLUTARALDEHYDE FOR DISINFECTION BRONCHOSCOPY

作　　者：谭燕华[1] 李靖慧[1] 

机构地区：[1]广州医科大学附属第一医院,广东广州510120

出　　处：《现代医院》2015年第6期22-23,26,共3页Modern Hospitals

基　　金：广州市医药卫生科技项目(编号:20141A010071)

摘　　要：目的探讨邻苯二甲醛和戊二醛消毒剂用于纤支镜消毒时的消毒成本、纤支镜周转率、医疗创收、以及对工作人员健康的影响,为国内推广使用邻苯二甲醛提供依据。方法计算每条纤支镜的周转时间,以此时间为依据统计出使用两种消毒液的月最高消毒成本、月最多消毒纤支镜条数、月最高医疗创收净值进行对比;向我院供应室参与纤支镜洗消的20个工作人员针对使用两种消毒液在洗消纤支镜过程中对身体的影响派发调查问卷,分析其调查结果。结果使用邻苯二甲醛虽然消毒成本高于使用戊二醛,但纤支镜周转率提高50%,医疗创收净值提高40%。调查问卷显示使用邻苯二甲醛消毒对工作人员的呼吸道、眼结膜的刺激均很轻微,且未出现皮肤过敏现象。结论采用邻苯二甲醛进行纤支镜消毒,虽然消毒成本提高,但明显提高纤支镜周转率和医疗创收净值,并且从长期看,降低工作人员的职业暴露和器械残留对患者的影响,因此邻苯二甲醛是值得在临床推广使用的高效消毒剂。Objective Comparative study of the disinfection expense, turnover rate and the effect on health of ortho - phthalaldehyde and glutaraldehyde used for disinfection of bronchofiberscope, to provide the basis of the promoted application of domestic ortho - phthalaldehyde. Methods Based in turnover time of each bronehofiber- scope, the maxminal disinfection expense in month, the maxminal number of bronchofiberscope in month and the maxminal net value were compared with medical revenue in month. Two different disinfections are calculated. Ques- tionnaires about the effects were sent to twenty workers from the supply room involved in using two different disinfec- tion liquid, and the results were analyzed. Results The disinfection expenses of ortho - phthalaldehyde were higher than that of glutaraldehyde, but bronchofiberscope turnover rate increased by 50% , while medical net revenue in- creased by 40%. According to the questionnaires, the respiratory and conjunctival irritation of the workers were mi- nor, and the symptom of any skin irritation did not appear. Conclusion Although the expense increased, ortho - phthalaldehyde obviously improved the bronchofiberscope turnover rate and medical net revenue, reduced the staff oc- cupational exposure and equipment residual effects on patients. Thus, ortho - phthalaldehyde is an efficient disinfect. ant that is worthy of being promoted in clinical practice.

关 键 词：邻苯二甲醛 戊二醛 纤支镜 消毒 对比研究 

分 类 号：R979.7[医药卫生—药品]