19例假肢穿戴者接受腔消毒效果的评价  

Disinfection for Prosthetic Sockets in 19 Wearers

作　　者：徐静[1] 王佳奇[2] 孙惠惠[2] 熊宝林[1] 方新[1] 沈瑾[2] XU Jing WANG Jia-qi SUN Hui-hui XIONG Bao-lin FANG Xin SHEN Jin(Department of Orthopaedic Rehabilitation of Beijing College of Social Administration, Beijing 101601, China National Institute of Environment Health, Chinese Center for Disease Control and Prevention, B eijing 100021, China)

机构地区：[1]北京社会管理职业学院假肢矫形康复系,北京市101601 [2]中国疾病预防控制中心环境与健康相关产品安全所,北京市100021

出　　处：《中国康复理论与实践》2017年第5期616-620,共5页Chinese Journal of Rehabilitation Theory and Practice

基　　金：北京社会管理职业学院课题(No.SGYYB2015-2)

摘　　要：目的探索假肢接受腔常规消毒的可行性。方法 2016年6月至8月,采用复合季铵盐消毒剂对19名下肢假肢穿戴者穿戴的假肢接受腔进行擦拭消毒,对套袜喷雾消毒,每天晚上1次,持续3周。每周现场调查和采样,行菌落计数,分离鉴定金黄色葡萄球菌、铜绿假单胞菌、大肠杆菌、白色念珠菌。结果消毒后,假肢接受腔细菌菌落数降低1.8~3.0个对数值,真菌总数降低1.6~1.9个对数值;消毒前样本分离到金黄色葡萄球菌1株,大肠杆菌1株,消毒后样本中分离出铜绿假单胞菌1株;持续消毒后,假肢接受腔异味除去效果明显,湿疹及瘙痒症状减轻或消失。结论假肢接受腔经复合季铵盐消毒后,可有效减少微生物污染,去除异味,减少湿疹等皮肤病的发生。Objective To explore the possibities of routine disinfection for prosthetic sockets. Methods From June to August, 2016, 19 lower limbs prosthesis wearers wiped their prosthetic socket surfaces and sprayed the stump socks with a compound of quaternary ammonium salt every night for three weeks. Meanwhile, field investigation and sampling were carried out weekly. Staphylococcus aureus, Pseudomonas aeruginosa, Escherichia Coli and Candida albicans were isolated and identified, and colony counting was carried out. Results After disinfection, the number of bacteria on the prosthetic socket reduced 1.8-3.0 log, and the number of fungi reduced 1.6-1.9 log. One strain of Staphylococcus aureus and one strain of Escherichia Coli were isolated before disinfection and one strain of Pseudomonas aeruginosa was isolated after disinfection. Eczema and itching symptoms relieved or disappeared and deodorant effect was distinguished after continuous disinfection. Conclusion Disinfection on prosthetic sockets with compound of quaternary ammonium salt may control the microbial contamination and odor, reduce the incidence of eczema and other skin diseases.

关 键 词：假肢接受腔 消毒 复合季铵盐 

分 类 号：R687.5[医药卫生—骨科学]