手术器械清洗方法的对比研究  

Medical Instruments Cleaning Methods:A Comparative Study

作　　者：陈培琴[1] 郭惜珍[1] 黄旭华[1] 纪馥芳[1] 陈妙华[1] 

机构地区：[1]中山大学附属汕头医院护理部,广东汕头515031

出　　处：《中华医院感染学杂志》2010年第18期2806-2807,共2页Chinese Journal of Nosocomiology

摘　　要：目的探讨医院手术器械优效的清洗方法。方法改进医院手术器械清洗制度和流程,并将18套共1080件手术器械分为3组各6套360件,分别接受直接机洗、酶泡+机洗、预洗+酶泡+超声+机洗进行器械,评价清洁合格率并进行对比。结果直接机洗组、酶泡+机洗组、预洗+酶泡+超声+机洗组的合格率分别为81.1%、92.8%、96.9%,3组间及两两组间的差异均有统计学意义(均P<0.01)。结论预洗+酶泡+超声+机洗的器械清洗方法的清洁效果明显优于其他两种方法,规范的器械清洗制度,高素质的操作人员、优效的清洗方法和流程、合适清洗剂的选择、手工清洗和机械清洗的有机结合,是提高清洗质量的重要手段。OBJECTIVE To explore the effective medical instruments cleaning methods.METHODS The cleaning system and procedure of medical instruments were improved,a total of 1080 pieces of medical instruments were divided into 3 groups,each group with 360 pieces.Direct machine washing,enzyme dipping＋machine washing and pre-washing＋enzyme dipping＋ultrasound＋machine washing were treated to the 3 groups respectively.The passing rates of the 3 groups were evaluated.RESULTS The passing rates were 81.1%,92.8% and 96.9% respectively in the 3 groups.the difference among the 3 groups was statistically significant（P0.01）.CONCLUSION The effect of pre-washing＋enzyme dipping＋ultrasound＋machine washing cleaning method is remarkably superior to other two methods.Standard cleaning system,highly qualified manipulation staff,effective cleaning methods and procedure,proper selection of disinfectant and hand-washing combined with machine cleaning are important measures to improve the cleaning quality.

关 键 词：手术器械 清洗方法 消毒灭菌 对比研究 

分 类 号：R187[医药卫生—流行病学]