酒精擦片用于儿童浅静脉留置针皮肤消毒的效果

目的评价75%酒精擦片应用于儿童浅静脉留置针皮肤消毒的效果。方法选择2013年8～9月于深圳市第三人民医院儿科病房行浅静脉留置针穿刺患儿160例,将其随机分为观察组和对照组,每组各80例,观察组使用75%医用酒精擦片进行皮肤消毒,对照组使用0.5%安多福进行皮肤消毒。分别于消毒后15 s、30 s和1 min进行细菌采样,比较两组消毒效果、待干时间、操作时间、经济成本等。结果观察组在15 s、30 s和1 min时细菌菌落数目均低于国家标准,达到消毒目的;观察组的待干时间（9.36±1.62）s]、操作时间（10.14±2.28）min]少于对照组（15.61±2.16）s、（12.21±0.94）min],差异均有高度统计学意义（P〈0.01）;对照组与观察组在经济成本比较（14.35元比15.36元）,差异无统计学意义（P〉0.05）。结论 75%医用酒精棉片用于浅静脉留置针消毒能达到消毒效果,且待干时间和操作时间短,提高了临床静脉穿刺的效率,值得临床推广和应用。

Effects of alcohol swab on disinfection of superficial vein indwelling needle of children

Objective To study the effects of alcohol swab on disinfection of superficial vein indwelling needle of pediatric patients. Methods A total of 160 pediatric patients from August to September 2013 of the Third People＇s Hospital of Shenzhen City who were given the superficial vein indwelling needle were randomly divided into the experimental group and the control group, with 80 cases in each group. Patients in the experimental group were sterilized by alcohol swabs while the patient in the control group were sterilized by 0.5% Andover before the indwelling of the peripheral needle. Samples for bacterial culture were taken in 15 s, 30 s, 1 min after sterilizing. The disinfection effect, the time to try, the time for venipuncture and cost were compared. Results The bacteria colony count of the experimental group in 15 s, 30 s and 1 min were below the national standards and 75% alcohol swabs could fulfill the requirement of disinfection; time to be dry （9.36±1.62） s] and the time for operation （10.14±2.28） min] in the experimental group were significantly less than those in the control group （15.61±2.16） s,（12.21±0.94） min], the differences were statistically significant（P〈0.01）; there was no statistically significant difference in cost between the control group and experimental group（14.35 yuan vs 15.36 yuan）（P〉0.05）. Conclusion 75% alcohol swabs can fulfill the requirement of disinfection of superficial vein indwelling needle. It＇s worthy of clinical promotion and application because of its superiority in shorting time to dry and saving time for nurse.