目的　了解北京市大型医院外科手消毒剂的使用情况。方法　用自设问卷调查了北京市 30所三甲综合医院手术室护士长 ,内容包括各医院使用外科手消毒剂的种类 ;影响手消毒剂选择的因素 ;手消毒剂的使用方法等。结果　最常用的外科手消毒剂是碘伏 ,护士长选择消毒剂时主要考虑高效性和对皮肤的影响 ,刷手 5 m in和刷手3min是最常用的消毒方法。结论　建议加强不同消毒剂消毒效果和最佳使用方法方面的比较研究 ,以保证外科手消毒质量。 Objective To understand the use of surgical hand disinfectants in large hospitals in Beijing. Methods The questionnaires were used to survey the head nurses in the operating rooms of 30 SACH general hospitals in Beijing, including the types of surgical hand disinfectants used in hospitals, the factors influencing hand disinfectant selection, and the use of hand disinfectants. Results The most commonly used surgical disinfectant was iodophor. The nurse chiefly considered the effectiveness and skin effect when choosing a disinfectant. The most common method of disinfection was 5 min of brushing and 3 min of brushing. Conclusion It is suggested to strengthen the comparative study on the disinfection effect and best use method of different disinfectants to ensure the quality of surgical hand disinfection.