病房终末消毒用组合式隔离屏风的研制及气密性评价
Development of a combined isolated screen for terminal room disinfection and evaluation of its air-tightness
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摘要: 目的 研制一种组合式隔离屏风并评价气密性,探讨其用于开放式病房终末消毒的可行性。方法 隔离屏风由固定支架和可拆卸的隔离模块两部分组成。支架采用直角型的铁合金材料,螺丝钉固定在病房墙面和天花板,呈倒"U"型;轻型防水布作为隔离模块的主材料,双层浆洗缝制,上方及两侧边缘缝嵌软磁条;使用时,通过软磁条与铁合金的磁力作用将隔离模块紧密固定在支架上,其下缘用沙袋压实,四周平整贴合,将体积为47 m3的模拟病房完全分隔为两个独立区域。采用过氧化氢蒸汽灭菌技术进行消毒,按照6.0 g/m3将35%过氧化氢溶液汽化后通入模拟消毒区域,消毒1h,连续监测消毒区域的过氧化氢浓度和非消毒区域的过氧化氢泄漏情况。结果 由铁合金固定支架和缝嵌软磁条的隔离模块组成组合式隔离屏风,通过磁力作用紧密结合,制作简单、安装方便、成本低廉,对病房布局和功能使用影响小,可对病房不同区域轮流消毒。多次重复模拟消毒实验,消毒区域过氧化氢浓度在充气阶段随消毒时间增加而不断升高,1h后过氧化氢浓度达到峰值(139.03±3.51)ppm,分解阶段其浓度迅速下降;非消毒区域泄漏的过氧化氢气体逐步累积,其浓度逐渐上升后下降,但始终低于安全限值1ppm。结论 组合式隔离屏风制作简单、安装方便、气密性良好,可对开放式病房进行物理隔断,实现其不同区域的轮流终末消毒,又不影响临床正常诊疗工作,具有一定的临床价值。Abstract: OBJECTIVE To develop a kind of combined isolation screen and observe its air-tightness, and to explore its feasibility for the terminal disinfection of open hospital rooms. METHODS The combined isolation screen was composed of brackets and the detachable isolation module. The angle ferroalloy was used as bracket of isolation screen, which was fixed with the screw on the wall and roof and liked "U", and the light waterproof cloth was used as the main material of the removable isolation module, which was sewed by double layers and soft magnet on the edge. The isolation module was tightly fixed to the bracket by the magnetic force of soft magnet and ferroalloy. The lower edge was compacted with sandbags. The finished combined isolation screen was completely separated 47m3 simulated room into two different areas. And 35% food-grade hydrogen peroxide solution was passed into disinfection area after vaporization according to the standard of 6 g/m3 for disinfection of 1h. The gas concentrations of two areas were monitored continuously. RESULTS The combined isolation screen was composed of ferroalloy bracket and isolation module with soft magnet on the edge by magnetic force, which was simple in production, convenient in installation and low in cost. It had little effect on the layout and function of hospital rooms and could be used for alternate disinfection in different areas of rooms. In simulated disinfection experiments, the concentration of hydrogen peroxide in the disinfection area increased continuously with the increase of disinfection tine during the sterilization stage, and it reached the maximum value of (139.03±3.51)ppm after 1h. It decreased rapidly during the decomposition stage.The gas leakage in the non-disinfection area gradually accumulated, and then the decomposition decreased, which was always lower than the safety limit of 1ppm. CONCLUSION The combination isolation screen is simple in production, convenient in installation with good air tightness, and it can separate hospital rooms in different areas for alternate disinfection completely and physically, without affecting normal clinical treatment work, which has a certain clinical application value.
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