摘要
目的探讨不同预处理方式对夜间急诊手术器械清洗效果的影响,提高夜间急诊手术器械的清洗质量。方法选择江苏附属大学武进医院2017年1月至12月夜间急诊手术使用的器械包阑尾包300套,按照随机数字表分为A、B、C组,每组100套,分别按不同的预处理方法进行预处理。A组器械用灭菌水冲洗器械上可见污物,B组经流水冲洗后浸泡入1:200全能强效多酶清洗剂稀释液中30 s,C组经流水冲洗后喷洒医疗器械长效保湿剂。经不同方式预处理的手术器械被放置1~12 h后,进行统一回收、全自动多舱清洗消毒机清洗、包装及灭菌处理。分别采用目测法和ATP生物荧光检测法检测各组器械清洗效果,计算各组器械最终的清洁检验合格率。结果目测法清洁检测合格率:A组为69.0%(69/100)、B组为83.0%(83/100)、C组为96.0%(96/100),A组与B、C组差异有统计学意义(P<0.05)。ATP生物荧光检测法清洁检测合格率:A组为51.0%(69/100),B组为69.0%(69/100),C组为91.0%(91/100),A组与B、C组差异有统计学意义(P<0.05)。结论对未及时回收清洗灭菌的夜间急诊手术器械,采用1∶200全能强效多酶清洁剂稀释液中浸泡或长效保湿剂保湿喷洒进行清洁预处理,均能提高手术器械的清洗质量。
Objective To compare the pretreatment methods on improvement of surgical instruments for night emergency surgery,so as to improve the cleaning quality of the surgical instruments. Methods A total of 300 surgical instruments that were used for the night emergency from Jan 2017 to Dec 2017 were collected and divided into A,B and C group with 100 pieces in each group. The group A was flushed with sterile water to directly remove visible pollutants,the group B was immersed fully in 1 ∶ 200 multi-enzyme detergent after tap water cleaning,and the group C was sprayed with long-lasting moisturizer after tap water cleaning. The cleaning effects were observed through the visual observation and ATP monitoring.Results The qualified rates of disinfection through the visual observation and ATP monitoring were 69. 0%and 51. 0% in the group A,83. 0% and 69. 0% in the group B,96. 0% and 91. 0% in the group C. The cleaning quality of the group B or C has been significantly improved as compared with group A,the Chisquare test showed that the difference was statistically significant（ P 〈0. 05）. Conclusion The pretreatment methods of both 1 ∶ 200 multi-enzyme detergent and long-lasting moisturizer can significantly improve the cleaning quality of the night emergency surgical instruments.
作者
吴赛萍
李凌芸
Wu Saiping;Li Lingyun(Wujin Hospital Affiliated to Jiangsu University,Changzhou 213002,China)
出处
《中华卫生应急电子杂志》
2018年第3期172-175,共4页
Chinese Journal of Hygiene Rescue(Electronic Edition)
关键词
夜间急诊
手术器械
预处理
清洁合格率
Night emergency surgical instrument
pretreatment
cleaning effect
multi-enzyme detergent
long-lasting moisturizer
