两种清洗方法对平头金属吸引器清洗效果的对比研究
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摘要
目的比较两种清洗方法对平头金属吸引器的清洗效果,找出有效的清洗方法,以确保清洗灭菌质量和控制院内感染的发生。方法随机选取我院2017年8月～9月连续神经外科手术器械中平头金属吸引器共计1152个纳入研究,随机选取其中576个作为对照组,采取手工预处理后放入普通清洗架再进入全自动清洗消毒器清洗的方法;另外的平头金属吸引器共计576个作为实验组,采取手工预处理、多酶溶液浸泡、超声波清洗后放入管腔专用清洗架再进入全自动清洗消毒器清洗的方法,比较两组的清洗效果。结果采取目测检查方法,观察管腔内有无肉眼可见的残留物,对照组清洗合格率64%,实验组合格率99%,两种清洗方法同一部位平头金属吸引器残留血污检测阳性率比较有显著性差异。结论平头金属吸引器采用手工预处理—多酶溶液浸泡—超声波清洗—放入管腔专用清洗架—全自动清洗消毒器清洗的方法能达到保证器械清洗质量的目的。
Objective To compare the cleaning effect between two kinds of cleaning methods of flat attractor and to find the most effective way of cleaning used in CSSD.Methods Between August 2017 to September 2017,1152 flat attractors used in neurological operation were enrolled in this study.According to two kinds of cleaning methods,attractors were classified as the control group(n=576) and the contrast group(n=576).Our aim is to compare the cleaning effect between two kinds of cleaning methods.Univariate and multivariate analysis were used to identify predictive factors such as different method of cleaning.Results The cleaning effect was significantly better in the control group than in the contrast group.Conclusion The new cleaning methods of flat attractor can be used in CSSD.
Objective To compare the cleaning effect between two kinds of cleaning methods of flat attractor and to find the most effective way of cleaning used in CSSD.Methods Between August 2017 to September 2017,1152 flat attractors used in neurological operation were enrolled in this study.According to two kinds of cleaning methods,attractors were classified as the control group(n=576) and the contrast group(n=576).Our aim is to compare the cleaning effect between two kinds of cleaning methods.Univariate and multivariate analysis were used to identify predictive factors such as different method of cleaning.Results The cleaning effect was significantly better in the control group than in the contrast group.Conclusion The new cleaning methods of flat attractor can be used in CSSD.
引文
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[3]Alvmdo CJ,Reieheldenfer M.APIC guideline for infection prevention and control in flexible endeoscopy[J].American Journal of Infection Control,2000,28:138.
[4]蔡钢强,陈化禹,李冬,等.胃液对免疫胶体金隐血试验影响的实验分析[J].检验医学,2008,23(1):113.
[5]陈瑞冰.不同清洗方法对金属人流吸管的效果比较[J].按摩与康复医学,2012,33(9):195-196.
[6]王雪晖.医疗器械沾染血迹后的保存方式对清洗效果的影响.护理管理杂志,2010,10(7):517-519.
[7]黎小梅,幸敏.失效模式与效应分析法在管腔类金属器械清洗中的应用[J].中国临床护理,2012,4(1):6-8.
[8]康茂荣,张志臣,张秀銮,等.清洗方法对手术器械洁净度影响的研究[J].中华医院感染学杂志,2006,5(16):578.
[9]宋敏,谢玉娥,古小晴.子宫腔吸引管清洗方法的研究[J].护理学杂志,2005,20(14):3-4.