不同类型医院空气净化方式应用情况调查  

Survey on air purification methods applied in different types of hospitals

作　　者：贾会学[1] 姚希[1] 陆群[2] 侯铁英[3] 林玲 杨环[5] 宗志勇[6] 吴安华[7] 邢亚威[8] 李六亿[1] JIA Hui-xue;YAO Xi;LU Qun;HOU Tie-ying;LIN Ling;YANG Huan;ZONG Zhi-yong;WU An-hua;XING Ya-wei;LI Liu-yi(Department of Healthcare-associated Infection Management-Disease Prevention and Control,Peking University First Hospital,Beijing 100034,China;Department of Infection Management,The Second Affiliated Hospital,Zhejiang University School of Medicine,Hangzhou 310009,China;Department of Laboratory Medicine,Guangdong Provincial People’s Hospital,Guangzhou 510008,China;Heilongjiang Province Center for Disease Control and Prevention,Harbin 150030,China;Department of Infection Management,People’s Hospital of Xinjiang Uygur Atonomous Region,Urumqi 830001,China;Department of Infection Management,West China Hospital,Sichuan University,Chengdu 610041,China;Department of Healthcare-associated Infection Control,Xiangya Hospital,Central South University,Changsha 410008,China;Department of Infection Management,the Fourth Hospital of Hebei Medical University,Shijiazhuang 050019,China)

机构地区：[1]北京大学第一医院感染管理-疾病预防控制处,北京100034 [2]浙江大学医学院附属第二医院感染管理科,浙江杭州310009 [3]广东省人民医院检验科,广东广州510008 [4]黑龙江疾病预防控制中心,黑龙江哈尔滨150030 [5]新疆维吾尔自治区人民医院感染管理科,新疆乌鲁木齐830001 [6]四川大学华西医院感染管理科,四川成都610041 [7]中南大学湘雅医院医院感染控制中心,湖南长沙410008 [8]河北医科大学第四医院感染管理科,河北石家庄050019

出　　处：《中国感染控制杂志》2023年第5期504-511,共8页Chinese Journal of Infection Control

基　　金：国家卫生健康委医管中心标准项目(2020057)。

摘　　要：目的 了解不同医院空气净化方式应用情况。方法 在中国7个地区7个省选取不同级别、不同类型的医院进行调查,调查《医院空气净化管理规范》颁布后各医院空气净化方式应用现况,包括不同空气净化方式的应用、空气净化方式组合使用情况,以及不同区域空气净化方式应用情况。结果 共收到340所医院的调研结果,38.53%(131所)的医院有负压隔离病房,81.47%(277所)的医院有洁净手术间,97.35%(331所)的医院有空气消毒器。70.00%(238所)的医院在某一空间同时使用两种及以上空气净化方式,综合重症监护病房、感染疾病科、发热门诊多采取三种及以上空气净化方式,所占比率分别为55.93%、43.01%和38.49%;最常见的组合方式为自然/机械通风+空气消毒器(83.19%,198/238),20.59%(49/238)的医院在洁净技术房间辅以紫外线灯进行消毒。各区域除非洁净手术室、产房、导管室、消毒供应中心外,80%以上均有通风系统。结论 空气净化方式的选择多元化,建筑设计更加注重通风,但空气净化方式的选择仍存在过度及不规范的现象。Objective To understand the application of air purification methods in different hospitals.Methods A survey was conducted in hospitals of different levels and types in 7 provinces from 7 regions of China,to investigate the current application status of air purification methods in hospitals after the promulgation of Hospital Air Purification Management Code,including the application of different air purification methods,the combination of air purification methods,and the application of air purification methods in different regions.Results A total of 340 hospitals were surveyed.38.53%(n=131)of which had negative pressure isolation wards,81.47%(n=277)had clean operating rooms with cleaning technology,97.35%(n=331)had air disinfectors.70.00%(n=238)had two or more air purification methods simultaneously in a certain region.General intensive care unit,infectious disease department and fever clinic adopted three or more air purification methods,accounting for 55.93%,43.01%and 38.49%,respectively.The most common combination was natural/mechanical ventilation+air disinfectors(83.19%,198/238).20.59%(49/238)used ultraviolet lamps additionally for the disinfection in rooms with clean technology.Except for non-clean operating rooms,delivery rooms,catheter rooms and disinfection supply center,over 80%areas had ventilation systems.Conclusion The selection of air purification methods is diverse,and the architectural design pays more attention to ventilation,but the selection of air purification methods is still excessive and non-standardized.

关 键 词：医院 空气净化 空气消毒器 通风系统 应用 

分 类 号：R181.32[医药卫生—流行病学]