摘要
目的探讨聚维酮碘和葡萄糖酸氯己定醇在脑室出血患者脑室储液囊外引流中的消毒效果。方法92例行脑室出血脑室储液囊外引流的患者,按照随机数字表法分为观察组和对照组,观察组采用葡萄糖酸氯己定醇消毒脑室储液囊外引流穿刺点周围皮肤表面,对照组采用聚维酮碘消毒。比较两组的皮肤局部感染、颅内感染的发生率、脑脊液细菌学指标阳性率、消毒后皮肤细菌学指标以及每次消毒更换脑室储液囊外引流装置所需的时间。结果观察组的皮肤局部感染、颅内感染发生率均低于对照组,差异有统计学意义(P<0.05)。观察组消毒后皮肤细菌学培养为(3.12±1.79)CFU/cm^(2),对照组为(5.03±2.18)CFU/cm^(2),差异有统计学意义(P<0.001)。观察组消毒更换脑室储液囊外引流装置所需的时间为(7.47±1.05)min,对照组为(9.21±1.18)min,差异有统计学意义(P<0.01)。结论葡萄糖酸氯己定醇用于脑室出血患者脑室储液囊外引流中的消毒效果优于聚维酮碘,且可以节省时间、降低人力成本、提高工作效率。
Objective To explore the disinfection effect of povidone iodine and chlorhexidine gluconate in the drainage of ventricular fluid storage sac in patients with intraventricular hemorrhage.Methods Ninety-two patients who underwent intraventricular hemorrhage and drainage of ventricular reservoir were divided into observation group and control group according to the random number table method.The observation group used chlorhexidine gluconate to disinfect the skin surface around the puncture point of ventricular reservoir drainage.The group was disinfected with povidone iodine.Results The incidence of local skin infection and intracranial infection in the observation group were lower than those in the control group,and the difierence was statistically significant(P<0.05).The skin bacteriological culture of the observation group after disinfection was(3.12±1.79)CFU/cm^(2),and the control group was(5.03±2.18)CFU/cm^(2),the difference was statistically significant(P<0.001).The time required for disinfection and replacement of the extra-sac drainage device of the ventricle was(7.47±1.05)min in the observation group and(9.21±1.18)min in the control group,the difference was statistically significant(P<0.01).Conclusion The disinfection effect of chlorhexidine gluconate used in the drainage of the ventricular storage sac of patients with intraventricular hemorrhage is better than that of povidone iodine,and it can save time,reduce labor costs,and improve work efficiency.It is worthy of popularization and application.
出处
《浙江临床医学》
2021年第8期1211-1213,共3页
Zhejiang Clinical Medical Journal
基金
温州市科技局计划项目(Y20190357)。
关键词
脑室出血
脑室储液囊外引流
消毒
葡萄糖酸氯己定醇
聚维酮碘
Intraventricular hemorrhage
Extra-sac drainage of ventricular reservoir
Disinfection
Chlorhexidine gluconate
Povidone-iodine
