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目的观察感染控制路径对神经外科手术室空气消毒的效果。方法选择医院2015年1月-2016年12月收治的神经外科手术患者160例,其中手术室感染控制路径实施后的80例患者作为研究组,感染控制路径实施前的80例患者作为对照组,比较2组手术室空气消毒效果和手术情况。结果研究组手术实施前10 min、手术开始后10 min、30 min、60 min和手术完成时手术室空气菌落总数均低于对照组,差异均有统计学意义(P<0.05)。研究组术后3 d体温升高、白细胞升高发生率均低于对照组,术后抗生素使用时间、拆线时间均短于对照组,差异均有统计学意义(P<0.05)。研究组术后感染发生率为0低于对照组的5.00%(4/80),差异有统计学意义(P<0.05)。结论在神经外科手术室空气消毒中应用常规的空气净化系统加上严格的感染控制路径可提高手术室空气消毒效果,降低手术患者术后并发症发生率和感染发生率,应用效果显著。
Objective To observe the effect of infection control path on air disinfection of neurosurgical operating room. Methods A total of 160 neurosurgical patients admitted from January 2015 to December 2016 in our hospital were enrolled. Among them, 80 patients after the implementation of infection control pathway in the operating room served as the research group and 80 patients before the implementation of the infection control pathway as the control group. Comparing the air disinfection effect and operation condition of the two operating rooms. Results The total number of air colonies in the operating room at 10 min before operation, 10 min, 30 min, 60 min after operation and at the completion of operation were all significantly lower in the study group than in the control group (P <0.05). The study group 3 days after the rise in body temperature, the incidence of leukocytosis were lower than the control group, postoperative antibiotic use time, suture removal time were shorter than the control group, the difference was statistically significant (P <0.05). The incidence of postoperative infection was 0 in the study group was lower than 5.00% (4/80) in the control group, the difference was statistically significant (P <0.05). Conclusion The routine air purification system combined with strict infection control path in the air disinfection of neurosurgery operating room can improve the air disinfection effect in the operating room and reduce the incidence of postoperative complications and infection in the operation patients.