Effect comparison of chlorine containing disinfectant and quaternary ammonium salt wipes for medical lead clothing disinfection in orthopedic surgery

ZHANG Xue; WANG Cheng-juan; CHEN Chen; JI Jing-jing; WU Hao

doi:10.11659/jjssx.08E024060

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Effect comparison of chlorine containing disinfectant and quaternary ammonium salt wipes for medical lead clothing disinfection in orthopedic surgery

Clinical Research | 更新时间：2025-07-23

- Effect comparison of chlorine containing disinfectant and quaternary ammonium salt wipes for medical lead clothing disinfection in orthopedic surgery
- JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY Vol. 34, Issue 7, Pages: 617-620(2025)
- 作者机构：
  
  江苏省人民医院宿迁医院麻醉与围术期医学科，江苏宿迁 223800
- 作者简介：
- 基金信息：
- DOI：10.11659/jjssx.08E024060
  CLC： R187+.2
- Received：16 August 2024，
  
  Published：25 July 2025
- 稿件说明：
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张雪,王成娟,陈晨等.含氯消毒液与季铵盐湿巾用于骨科手术医用铅衣消毒的效果比较[J].局解手术学杂志,2025,34(07):617-620.

ZHANG Xue,WANG Cheng-juan,CHEN Chen,et al.Effect comparison of chlorine containing disinfectant and quaternary ammonium salt wipes for medical lead clothing disinfection in orthopedic surgery[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2025,34(07):617-620.
张雪,王成娟,陈晨等.含氯消毒液与季铵盐湿巾用于骨科手术医用铅衣消毒的效果比较[J].局解手术学杂志,2025,34(07):617-620. DOI： 10.11659/jjssx.08E024060.

ZHANG Xue,WANG Cheng-juan,CHEN Chen,et al.Effect comparison of chlorine containing disinfectant and quaternary ammonium salt wipes for medical lead clothing disinfection in orthopedic surgery[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2025,34(07):617-620. DOI： 10.11659/jjssx.08E024060.

摘要

目的

比较含氯消毒液与季铵盐湿巾用于骨科手术医用铅衣消毒的效果。

方法

选取在我院行骨科手术时使用的18件医用铅衣为研究对象，随机分为含氯消毒液组和季铵盐湿巾组，每组9件，分别使用含氯消毒液和季铵盐湿巾消毒。对2组铅衣的表面菌落数、消毒合格率、内外侧辐射剂量、每次消毒成本和12个月后外表破损情况进行比较。

结果

消毒后12 h，季铵盐湿巾组铅衣表面菌落数明显少于含氯消毒液组（

0.05），消毒合格率明显高于含氯消毒液组（

0.05）；在消毒12个月后，季铵盐湿巾组铅衣内侧辐射剂量明显低于含氯消毒液组（

0.05）；季铵盐湿巾组铅衣每次消毒时间和消毒12个月后外表破损处均明显短/少于含氯消毒液组（

0.05）。

结论

与使用含氯消毒液对骨科手术医用铅衣进行消毒相比，使用季铵盐湿巾消毒可以在较长时间内维持良好的消毒效果、对铅衣防护效果影响小、消毒时间短且对铅衣外表破坏小。

Abstract

Objective

To compare the disinfection effects of chlorine containing disinfectant and quaternary ammonium salt wipes on medical lead clothing used in orthopedic surgery.

Methods

A total of 18 medical lead clothing used in our hospital for orthopedic surgery were selected as the research objects， and they were randomly divided into the chlorine containing disinfectant group and the quaternary ammonium salt wipes group， with 9 pieces in each group，which were disinfected with chlorine containing disinfectant and quaternary ammonium salt wipes respectively. The number of surface colonies， disinfection qualification rates， internal and external radiation doses， each disinfection cost， and surface damage after 12 months for lead clothing were compared in the two groups.

Results

At 12 hours after disinfection， the number of surface colonies of lead clothing in the quaternary ammonium salt wipes group was significantly less than that in the chlorine containing disinfectant group （

0.05）， the disinfection qualification rate was significantly higher than that in the chlorine containing disinfectant group （

0.05）.After 12 months of disinfection， the radiation dose of internal lead clothing in the quaternary ammonium salt wipes group was significantly lower than that in the chlorine containing disinfectant group （

0.05）. The time of each disinfection and the surface damage of lead clothing after 12 months of disinfection in the quaternary ammonium salt wipes group were significantly shorter/less than those in the chlorine containing disinfectant group（

0.05）.

Conclusion

Compared with using chlorine containing disinfectant for the disinfection of medical lead clothing in orthopedic surgery， the use of quaternary ammonium salt wipes can maintain a good disinfection effect for a longer time，which has less influence on the protective effect of lead clothing， and shorter disinfection time，as well as less damage to the surface of lead clothing.

关键词

Keywords

references

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