不同清洗方法对中度污染器械清洗效果对比研究  

Different Kinds of Cleaning Methods for Moderately Contaminated Instruments in Hospital Supply Center:Investigation on Results

作　　者：陈东方[1] 刘美荣[1] 任健[1] 裴艳红[1] 

机构地区：[1]解放军总医院第二附属医院消毒供应室,北京100091

出　　处：《中华医院感染学杂志》2008年第5期674-676,共3页Chinese Journal of Nosocomiology

摘　　要：目的探索一种高效、快速、经济、安全、实用的清洗方法,以保证再生器械的灭菌质量。方法将供应室回收的600件中度污染器械随机分为常规组、试验A组和试验B组(每组各200件),试验A组和试验B组在常规清洗前,分别接受温水和酶液浸泡,随后均放入全自动喷淋清洗机中清洗;比较不同方法清洗后器械的洁净度及残留血的污染情况。结果试验A组、试验B组与常规清洗组比较,清洗洁净度与质量均明显提高,经统计学处理,差异有统计学意义(P<0.05);而两试验组之间比较,差异无统计学意义(P>0.05)。结论在使用全自动喷淋式清洗机清洗中度污染器械前,采用温水浸泡或多酶液浸泡均能很好提高再生器械的清洗效果。OBJECTIVE To seek for an effective, rapid, economic, safety and practical cleaning method, so as to ensure the high quality of sterilization in hospital supply center. METHODS Six hundred moderately contaminated recyclable instruments were divided into three groups randomly, conventional group, experimental group A and experimental group B （two hundred sorts each）. The instruments in experimental group A were put into warmed water （40 ℃） for ten minutes first, and that in experimental group B were put into multi-enzyme solution for five minutes first, and then all the instruments in three groups were put into automatic sprinkling cleaning machine to accomplish the cleaning process automatically. After cleaning process, cleaning degree of the instruments and remained blood residues were compared in three groups. RESULTS The cleaning quality in the groups A and B was significantly higher than that of the conventional group, both P〈0. 05, but there was no significant difference between groups A and B. CONCLUSIONS Warmed water soaking and multi-enzyme solution soaking before automatic cleaning in automatic sprinkling cleaning machine will improve cleaning quality of the instruments greatly.

关 键 词：清洗方法 供应室 再生器械 洁净度 潜血试验 

分 类 号：R187.3[医药卫生—流行病学]