一次性鞘套消化内镜系统的安全性研究  

Microbiologic assessment of a novel disposable sheathed gastrointestinal endoscopy system

作　　者：李爱琴[1] 金鹏[1] 唐玉芬[1] 余东亮[1] 王海红[1] 王昕[1] 谢惠[1] 汤珊[1] 李若然[2] 盛剑秋[1] 

机构地区：[1]北京军区总医院消化内科,北京100700 [2]河南科技大学医学院

出　　处：《胃肠病学和肝病学杂志》2013年第5期438-439,共2页Chinese Journal of Gastroenterology and Hepatology

基　　金：全军医药卫生科研基金资助项目(08G005)

摘　　要：目的通过病原学检测和临床观察,探讨一次性鞘套消化内镜系统的安全性。方法乙型肝炎病毒携带者40例,随机分为两组。鞘套组接受一次性鞘套胃镜检查(n=10)和一次性鞘套结肠镜检查(n=10),检查完毕后脱去内镜鞘套,分别对镜身和活检孔道取样,行细菌培养和HBV DNA检测,并观察脱下的鞘套有无破裂。对照组接受普通胃镜检查(n=10)和普通结肠镜检查(n=10),检查完毕后对内镜使用戊二醛五步消毒法,病原学检测方法同对照组。同时观察操作中有无并发症发生。结果鞘套组及对照组检测均无微生物污染,检查过程中鞘套无破裂,两组均无并发症发生。结论一次性鞘套消化内镜系统能安全有效地避免交叉感染。Objective To evaluate the safety of a novel disposable sheathed endoscope system by microbiologic tests. Methods 40 patients with hepatitis B were randomly divided into 2 groups. The sheath group accepted sets of disposable sheathed gastroscopy （ n = 10） and sheathed colonoscopy （ n = 10）. After taking-off the contaminated sheath, the body and suction-biopsy channel of the endoscope was sampling for bacterial culture and HBV DNA tests. The con- trol group accepted standard gastroscopy （n = 10） and colonoscopy （n = 10）. The microbiologic tests were carried out in the same procedure after regular cleaning and disinfection. Results Microbial contaminations were not detected in ei- ther the sheathed endoscope group or the standard endoscope group. Conclusion The novel disposable sheathed gastro- intestinal endoscope system is safe in clinical practice.

关 键 词：消化内镜 消毒 一次性鞘套 

分 类 号：R575.1[医药卫生—消化系统]