口腔诊疗诊前过氧化氢溶液漱口的目标性监测与干预效果  

Targeted monitoring and intervention effect of hydrogen peroxide solution gargling before oral diagnosis and treatment

作　　者：杨静[1] 王芳云[1] 王舒思 陈晓波[2] 王渝 温艳丽[4] YANG Jing;WANG Fang-yun;WANG Shu-si;CHEN Xiao-bo;WANG Yu;WEN Yan-li(Department of Infection Control and Prevention,Hefei Stomatological Hospital,Hefei Stomatological Clinical College of Anhui Medical University,Hefei 230001,China;Department of Oral and Maxillofacial Surgery,Hefei Stomatological Hospital,Hefei Stomatological Clinical College of Anhui Medical University,Hefei 230001,China;Central Sterile Supply Department,Hefei Stomatological Hospital,Hefei Stomatological Clinical College of Anhui Medical University,Hefei 230001,China;Department of Endodontics,Hefei Stomatological Hospital,Hefei Stomatological Clinical College of Anhui Medical University,Hefei 230001,China)

机构地区：[1]合肥市口腔医院安徽医科大学合肥口腔临床学院感控科,安徽合肥230001 [2]合肥市口腔医院安徽医科大学合肥口腔临床学院口腔颌面外科,安徽合肥230001 [3]合肥市口腔医院安徽医科大学合肥口腔临床学院消毒供应中心,安徽合肥230001 [4]合肥市口腔医院安徽医科大学合肥口腔临床学院牙体牙髓科,安徽合肥230001

出　　处：《中国感染控制杂志》2023年第6期701-706,共6页Chinese Journal of Infection Control

基　　金：安徽省2019年重点研究与开发计划项目(201904a07020023)。

摘　　要：目的 了解口腔诊疗诊前漱口执行情况,探讨气溶胶污染防控改进措施。方法 选取某三级口腔专科医院,2020年7—12月为基线调查期,2021年1—6月为项目干预期(采取综合干预措施)。监测各科室诊前漱口执行率及过氧化氢漱口液人均用量,比较各科室干预前后效果及各科室间差异。结果 实施诊前漱口目标性监测及综合干预措施后,各科室诊前漱口执行率均有提升,总体执行率从干预前的39.28%提高至干预后55.30%(均P<0.05)。除修复科外,干预后其他科室过氧化氢溶液人均用量较干预前均有所改善(均P<0.05),牙周科、牙体牙髓科、种植科过氧化氢溶液用量全年处于较高水平,干预后分别为(52.605±12.293)、(22.495±1.943)、(23.879±1.673) mL/人次。结论 将诊前漱口执行情况作为一项口腔专科目标性监测指标,可明确口腔感染防控的重点环节及重点科室,为制定针对性的口腔感染防控策略提供参考。Objective To investigate the implementation of gargling before oral diagnosis and treatment,and explore the measures for improving prevention and control of aerosol contamination.Methods A tertiary stomatological specialty hospital was selected,with a baseline survey period from July to December 2020 and project intervention period from January to June 2021(comprehensive intervention was adopted).The implementation rate of gargling and per capita consumption of hydrogen peroxide gargling solution in each department before diagnosis and treatment were monitored,effectiveness and differences among different departments before and after intervention were compared respectively.Results After implementing targeted monitoring on gargling and comprehensive intervention measures before diagnosis and treatment,the implementation rates of gargling in all departments increased,the overall implementation rate increased from 39.28%before the intervention to 55.30%after intervention(all P<0.05).Except for the department of prosthodontics,per capita consumption of hydrogen peroxide solution in other departments after intervention all improved compared with before intervention(all P<0.05).The consumption of hydrogen peroxide solution was high in departments of periodontics,endodontics,and dental implant,which were(52.605±12.293),(22.495±1.943),and(23.879±1.673)mL/person/time,respectively.Conclusion The implementation of gargling before oral diagnosis and treatment as a targeted monitoring index for stomatological specialty hospital can determine the key aspects and key departments for oral infection prevention and control,and provide reference for formulating targeted oral infection prevention and control strategies.

关 键 词：口腔诊疗 气溶胶 过氧化氢 诊前漱口 

分 类 号：R181.32[医药卫生—流行病学]