本文關(guān)鍵詞： 預(yù)清洗 管腔器械 超聲清洗 手工清洗　出處：《中華醫(yī)院感染學(xué)雜志》2016年19期 　論文類型：期刊論文

【摘要】：目的探討不同預(yù)清洗方法對(duì)放置時(shí)間較長、重度污染的管腔器械清洗效果的影響,確定清洗效果最佳的預(yù)清洗方法,提高管腔器械清洗消毒質(zhì)量。方法將2015年6月使用后放置時(shí)間3h的重度污染管腔器械360件,隨機(jī)分成A、B和C組,每組120件,分別采用不同的方法進(jìn)行預(yù)處理,A組采用超聲波清洗預(yù)清洗,B組采用手工預(yù)清洗,C組不作任何預(yù)清洗,將使用不同方法預(yù)清洗的器械放入全自動(dòng)清洗消毒器中,運(yùn)行手術(shù)器械清洗程序,全部清洗程序結(jié)束后,所有器械采用帶光源放大鏡輔助目測和ATP生物熒光檢測儀,隨機(jī)采樣檢測數(shù)據(jù)并統(tǒng)計(jì)對(duì)比。結(jié)果器械清洗合格率A組為95.8%,B組為86.7%,C組為66.7%,A組清洗效果最佳,明顯優(yōu)于B組和C組,差異有統(tǒng)計(jì)學(xué)意義(P0.001);A組清洗管腔器械,耗時(shí)7min,成本為18元;B組清洗管腔器械耗時(shí)35min,成本為20元。結(jié)論對(duì)于放置時(shí)間較長的干涸管腔器械,在進(jìn)入全自動(dòng)清洗消毒器之前,使用超聲波清洗能夠顯著提高清洗質(zhì)量,管腔器械的預(yù)清洗可首選超聲波清洗。
[Abstract]:Objective to investigate the effect of different pre-cleaning methods on cleaning effect of tube cavity instruments with long storage time and serious pollution, and to determine the best cleaning method. Methods 360 seriously polluted instruments, which were placed for 3 hours after use on June 2015, were randomly divided into two groups: group A (n = 120), group B (n = 120) and group C (n = 120). Group A was pretreated with different methods. Group B was treated by ultrasonic cleaning. Group B was treated by manual pre-cleaning without any pre-cleaning. The instruments which were pre-cleaned by different methods were put into the automatic cleaning sterilizer. After all the cleaning procedures were finished, all the instruments were equipped with a magnifying glass with a light source and a ATP biological fluorescence detector. Results the qualified rate of cleaning apparatus in group A was 95.80.Results the cleaning effect of group A was 86.7% and that of group C was 66.7%, which was significantly better than that of group B and group C. the difference was statistically significant. It took 7 minutes, and the cost was 35 minutes and 20 yuan for group B cleaning instruments. Conclusion for dry lumen instruments with long storage time, ultrasonic cleaning can improve the cleaning quality significantly before entering the automatic cleaning sterilizer. Ultrasonic cleaning is the first choice for the pre-cleaning of lumen instruments.
【作者單位】： 泰山醫(yī)學(xué)院附屬醫(yī)院消毒供應(yīng)中心;淄博職業(yè)學(xué)院電子電氣工程學(xué)院;泰山醫(yī)學(xué)院附屬醫(yī)院藥劑科;
【基金】：醫(yī)院智能一體化感染控制系統(tǒng)等醫(yī)療裝備研發(fā)基金資助項(xiàng)目(2012BAI22B05)
【分類號(hào)】：R197.39

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