广东省69所医院腹腔镜清洗现状的调查  

Investigation on current situation of surgical laparoscopic instruments cleaning in 69 hospitals in Guangdong province

作　　者：杜合英[1] 张晋昕[3] 杜静锋[4] 陈利芬[2] 张华英[1] 

机构地区：[1]中山大学附属第一医院手术室,广州510080 [2]中山大学附属第一医院护理部,广州510080 [3]中山大学公共卫生学院流行病与统计系 [4]广东药学院附属第一医院妇科

出　　处：《中华现代护理杂志》2010年第16期1880-1882,共3页Chinese Journal of Modern Nursing

摘　　要：目的了解广东省医院腹腔镜清洗管理现状，为进一步规范腹腔镜清洗管理提供依据。方法采用实地考察、问卷及电话调查方式，对广东省69所医院腹腔镜清洗管理情况进行了调查。结果62所医院使用多酶清洗剂，其中4所浸泡1套后即更换，13所每天更换2次，28所每天更换1次，16所每2～3天更换1次，1所更换时间最长为1周。三级与二级医院间多酶清洗剂的更换频度差异有统计学意义（P〈0．05）；术中的清洗方法之间差异无统计学意义（P〉0．05），术后清洗方法差异有统计学意义（P〈0．05）。结论广东省不同级别医院腹腔镜清洗设施配置尚不足，未能重视术中的有效清洗，术后的多酶或超声清洗执行力需提高。Objective To investigate the present situation of cleaning of surgical laparoseopic instruments in hospitals in Guangdong province, so as to provide a basis for standardized management of laparoscopic Cleaning. Methods A total of 69 hospitals in Guangdong province were investigated using on-the- spot investigation, questionnaire and Telephone Survey. Results Sixty two hospitals utilized multi-enzyme abluent, among them there were 4 hospitals changed multi-enzyme abluent soak solution after every cleaning of instruments, and 13 hospitals changed multi-enzyme abluent soak solution twice per day, sixteen hospitals changed multi-enzyme abluent soak every two or three days, one hospital changed soak solution every week. The changing times between second class hospitals and third class hospitals were different （P 〈 0.05）. The cleaning methods during operation were no difference （ P 〉 0.05 ）, but the postoperative cleaning methods were difference （P 〈 0. 05）. Conclusions In different class hospitals of Guangdong provinces, Laparoscopic washing facilities is not sufficient. Cleaning during operation and postoperative multi-enzyme or ultrasonic cleaning execution need to be imporoved.

关 键 词：腹腔镜 清洗 管理 

分 类 号：R187[医药卫生—流行病学]