过氧化氢及过氧化氢银离子消毒剂用于控制口腔综合治疗台水路污染的研究  

Effects of hydrogen peroxide and hydrogen peroxide silver ion in controlling pollution of dental unit waterlines

作　　者：闫静欣 李华[1] 牛玉婷[2] 党芸 李秀娥[1] Yan Jingxin;Li Hua;Niu Yuting;Dang Yun;Li Xiue(Nursing Department,Peking University Hospital of Stomatology,Beijing 100081,China;Department of Pediatric Stomatology,Peking University Hospital of Stomatology,Beijing 100081,China)

机构地区：[1]北京大学口腔医院护理部,北京100081 [2]北京大学口腔医院儿童口腔科,北京100081

出　　处：《中华现代护理杂志》2021年第27期3686-3692,共7页Chinese Journal of Modern Nursing

基　　金：北京大学口腔医院临床新技术新疗法项目(PKUSSNCT-19A10)。

摘　　要：目的总结过氧化氢及过氧化氢银离子消毒剂消毒口腔综合治疗台水路(DUWLs)的方法和效果。方法遵循范围综述的研究思路,计算机检索PubMed、Web of Science、Embase、Scopus、Ebsco、ProQuest、CNKI、万方数据库、中国生物医学文献数据库、维普数据库、CNKI博硕士论文数据库,检索时限为建库至2020年12月31日。对消毒剂浓度、实施方法、评价指标进行提取和分析。结果共纳入20篇文献,包括1篇单中心RCT和19篇类实验性研究。以消毒剂种类划分为过氧化氢组和过氧化氢银离子组。实施方法为持续消毒、定期消毒、定期结合持续消毒;用于定期消毒的消毒剂浓度为0.1%~10%,用于持续消毒的消毒剂浓度为0.008%~0.250%;常用评价指标为菌落总数、合格率、致病菌检出率和生物膜。结论2种消毒剂均可有效控制DUWLs污染,过氧化氢银离子消毒剂的抑菌效果更好。可以将持续与定期消毒相结合,定期检测口腔诊疗用水水质并及时调整消毒策略。Objective To summarize the methods and effects of hydrogen peroxide and hydrogen peroxide silver ion disinfection of the dental unit waterlines(DUWLs).Methods Following the research ideas of scope review,we searched the PubMed,Web of Science,Embase,Scopus,EBSCO,ProQuest,CNKI,Wanfang Database,Chinese Biomedical Literature Database,VIP Database,CNKI PhD and Master Thesis Database by computer.The retrieval time limit was from the establishment of the database to December 31,2020.Disinfectant concentration,implementation methods,and evaluating indicator were extracted and analyzed.Results A total of 20 articles were included,including 1 single-center randomized controlled trail and 19 quasi-experimental studies.The disinfectants were divided into hydrogen peroxide group and hydrogen peroxide silver ion group.The implementation methods were mainly regular disinfection,continuous disinfectionandregular combined with continuous disinfection.The concentration of disinfectant used for regular disinfection was 0.1%-10%,and the concentration of disinfectant used for continuous disinfection was 0.008%-0.250%.The commonly used evaluation index were the total number of colonies,qualified rate,pathogenic bacteria detection rate and biofilm.Conclusions Both disinfectants can effectively control the pollution of DUWLs,and the antibacterial effect of hydrogen peroxide silver ion is better.It is possible to combine continuous and regular disinfection,regularly check the water quality of oral diagnosis and treatment,and adjust the disinfection strategy in time.

关 键 词：消毒 口腔综合治疗台水路 过氧化氢 银离子 

分 类 号：R197.323[医药卫生—卫生事业管理]