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酸化水在医疗环境的应用:2011年发布,2012年5月1日实施的<酸性氧化电位水生成器安全与卫生标准>应用范围:适用于灭菌前手工清洗手术器械、内镜的消毒,手、皮肤和黏膜的消毒,食饮具、食品加工器具及瓜果蔬菜的消毒,一般物体表面、卫生洁具和环境的消毒,织物类物品的消毒。
使用方法1 医疗器械和用品的消毒1.1 灭茵前手工清洗手术器械和用品的消毒用含酶清洗液浸泡清洗,净水冲洗后,用酸性氧化电位水流动冲洗浸泡消毒2min,净水冲洗30s,取出烘干或用无菌布拭干后,再按要求进行灭菌处理。
1.2 内镜的消毒按《内镜清洗消毒技术操作规范》(2004年版)的要求,用清洁剂和多酶洗液清洗,净水冲洗后浸人酸性氧化电位水,并用专用连接器将酸性氧化电位水出水口与内镜各孔道连接,流动冲洗浸泡消毒3min-5min,净水冲洗30s,取出烘干或用无菌布拭干。
1.3 一般诊疗用品的消毒一般诊疗用品充分洗净后用酸性氧化电位水冲洗浸泡3min-5min。
2 卫生手消毒先用碱性还原电位水冲洗20s, 然后用酸性氧化电位水流动冲洗消毒1min,再用碱性还原电位水或自来水冲洗10s。
手部污垢较多时,应先清洗干净再按上述方法行消毒处理。
3 皮肤与黏膜的消毒3.1 皮肤的消毒用无纺布浸人酸性氧化电位水中反复擦洗被消毒的部位3min-5min3.2 会阴部及阴道手术的消毒用酸性氧化电位水冲洗消毒,作用3min-5min.3.3 口腔和咽部的消毒用酸性氧化电位水支复含漱3次-5次.4 一般物体和环境表面的消毒.4.1 一般物体表面的消毒清洗干净后,用酸性氧化电位水流动冲洗浸泡消毒,作用3min-5min.或反复擦洗消毒5min。
4.2 卫生洁具的消毒洁具清洗干净后用酸性氧化电位水反复擦洗或流动冲洗浸泡5min.4.3 地面的消毒将地面清洁干净后,用酸性氧化电位水消毒过毒的拖布擦拭地面1次-2次(应朝同一方向擦拭).5 织物类物品的消毒5.1 一般织物的消毒清洗干净后,用酸性氧化电位水流动浸泡消毒3mh-5min。
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酸化水在烧伤浸浴治疗的应用目的探讨酸化水浸浴治疗烧伤的效果。
方法选取我院烧伤科2012年9月～2013年9月收治的患者共64例，随机分为两组，对照组采用常规方法，研究组采用酸化水浸浴治疗，观察并记录两组患者的疼痛程度，平均愈合时间，分别于治疗1w后取创面分泌物进行细菌培养。
结果研究组患者的平均愈合时间明显短于对照组，研究组创面细菌培养明显少于对照组，研究组植皮手术时机优于对照组。
结论烧伤患者采用浸浴治疗，可以有效的缓解疼痛，保持创面清洁，减少细菌的生长繁殖，从而促进创面的康复，具有一定的临床意义。
标签：酸化水；浸浴治疗；烧伤；疼痛程度烧伤发生后，创面由于暴露而失去保护，受伤患者自身皮肤表面，消化道，呼吸道及毛囊、汗腺等部位的细菌均会成为入侵机体的异物，影响创面的愈合，增加了患者的疼痛。
大面积烧伤患者常需要接受烧伤浸浴治疗，通过浸浴机械清除创面的细菌。
通常将患者创面或患者全身浸入含有一定比例消毒液水的浸浴机中，治疗一定时间，以到达溶痂、去痂、脱痂、清创、清洗、明确诊断残余创面面积，促进创面早期愈合，为肉芽创面植皮做术前准备，提高植皮成活率等[1]。
本院在采用酸化水浸浴方法治疗烧伤患者方而也取得了一定成效，报道如下。
1 资料与方法1.1一般资料选取我院烧伤科2012年9月～2013年9月收治的患者共64例，随机分为两组，每组32例患者。
其中，研究组男性患者18例，女性14例，患者年龄为19～56岁；对照组男性患者15例，女性患者17例，年龄为23～58岁；对照组患者致伤原因为：化学物品灼伤5例，沸水烧伤11例，火焰烧伤16例，烧伤面积达27%～68% TBSA，平均烧伤面积为（53.9±15.8）%TBSA，残余创面达3%～15%，平均创面为（7.2±3.3）% TBSA，其中20例烧伤患者存在III度创面；研究组患者致伤原因为：化学物品灼伤3例，沸水烧伤11例，火焰烧伤18例，烧伤面积达31%～69% TBSA，平均烧伤面积为（54.6±14.7）%TBSA，残余创面达4%～16%，平均创面为（7.4±2.8）%TBSA，其中19例烧伤患者存在III度创面。
酸性氧化电位水（AEOW）在复用诊疗物品消毒的应用及分析目的探究酸性氧化电位水冲洗浸泡复用诊疗物品临床消毒效果。
方法选择2016年3—10月期间该院消毒供应中心回收的呼吸气囊及管路随机编号分成3组，阴性对照组行消毒前采样，试验组1以传统消毒剂消毒，试验组2采用酸性氧化电位水消毒，观察、记录复用诊疗物品采用不同消毒剂相同消毒时间和最佳消毒时间的消毒效果。
结果采用传统消毒剂消毒5 min后样本培养菌落数为30～100 cfu/cm2，酸性氧化电位水样本培养均无细菌生长，同时传统消毒剂消毒30 min后样本培养菌落数为3～18 cfu/cm2，酸性氧化电位水消毒效果优于传统消毒剂，且达到同样消毒效果所用时间短。
结论酸性氧化电位水消毒高效、可靠，能节约消毒成本、减少消毒时间，提高器械的周转效率。
[Abstract] Objective To study the effect of AEOW in the reusable disinfection medical instruments. Methods The rebreathing bag and pipe recycled by the disinfection supply center in our hospital from March 2016 to March 2016 were randomly divided into three groups，the negative control group adopted the sampling before disinfection，the test group 1 adopted the traditional disinfectant for disinfection，the test group 2 adopted the electrolyzed oxidizing water for disinfection，and the same disinfection time of different disinfectants and the disinfection effect at the best disinfection time were observed and recorded. Results The sample culture number of colonies was 30～100 cfu/cm2 after 5 min disinfection，and there was no bacterial growth of the electrolyzed oxidizing water，at the same time，the sample culture number of colonies was 3～18 cfu/cm2 after 30 min disinfection by the traditional disinfectant，and the disinfection effect of electrolyzed oxidizing water was better than that of the traditional disinfectant，and could reached the same disinfection effect with less time. Conclusion The electrolyzed oxidizing water disinfection is effective and reliable，which can save the disinfection cost，reduce the disinfection time and improve the turnover efficacy of devices.[Key words] Electrolyzed oxidizing water；Rebreathing bag and pipe；Reusable medical instruments；Application传统消毒剂对各种呼吸气囊、管路等复用诊疗物品消毒时，会留有死角难以保证消毒效果，且费时费力，呼吸气囊、管路长期浸泡后出现污垢、变形、变硬现象，不仅影响临床使用而且造成医院资源浪费[1]。
酸性氧化电水位在医院消毒供应室中心的应用与管理摘要】近年来，在预防与控制医院感染工作中，酸性氧化电位水(EOW)作为一种新型的绿色环保消毒方法，在国内外得到了较为广泛的应用，使用何种方法消毒能够达到既消毒效果好，又对器械无损害，对环境污染小，是消毒和医院感染控制专家十分关注的问题。
酸性氧化电位水是一种具有高氧化还原电位(ORP)、低pH值、低有效氯的绿色消毒剂，可杀灭多种细菌繁殖体、病毒、真菌及细菌芽胞，具有独特的战略性技术优势，如杀菌速度快、不留残毒、消毒后不需用洁净水冲洗、不污染环境、无须特殊排水系统、对物品损害小、对人员无伤害、使用安全。
酸性氧化电位水的应用，应用范围用于不能在自动洗消机内清洗消毒的器械及物品，不耐高温的塑料物品、结构复杂、精密的器械、管腔类器械、运输车以及各种环境、物体表面的消毒。
关键指标监测酸性氧化电位水的关键指标pH值、氧化还原电位、有效氯含量是否达到合格范围，是保证消毒效果的关键。
我中心采用的酸性氧化电位水设备(由北京洲际资源环保科技有限公司生产)具有关键指标在线监测、实时显示。
酸性氧化电位水是目前国际上最为先进的一种绿色、环保、新型的消毒产品，已逐渐成为各医院重点感染管理与控制单元常备的高水平消毒方式。
在诊疗过程中播散传染性疾病的“感染链”，使用酸性氧化电位水对院内感染的控制效果明显，如何正确认识、合理地使用酸性氧化电位水进行日常消毒，对控制感染源、切断传播途径、保护易感宿主，起着重要的作用。
【关键词】酸性氧化电位水消毒供应室应用管理医院感染一直是医学界关注的问题，各医院每年都有部分的病人在诊疗过程中交叉感染而导致传染病的传播。
供应室是医院感染染制的源头，以医护人员、器械、设备诊疗过程情况，确定诊疗过程中播散传染性疾病的“感染链”，所以提出使用酸性氧化水对医院控制医院感染的防护、消毒的重要性。
消毒质量和医疗质量是院内感染控制永恒的主题，以科学发展观为指导，坚持以病人为中心，如何正确认识、使用、保存消毒用品及其相关仪器，为近年来医学领域关注的焦点，有效控制院内感染，不断地提高医疗质量，是医院发展的趋势。
