妇科连续诊疗硬式宫腔镜清洗消毒灭菌的效果分析  

Effects analysis of different sterilization methods on gynecological diagnosis uteroscope

作　　者：李荣明[1] 佘远萍[1] 黄光葵[1] 李江筠[1] 

机构地区：[1]广西桂林医学院附属医院,广西桂林541001

出　　处：《世界最新医学信息文摘》2014年第15期10-11,共2页World Latest Medicine Information Electronic Version

基　　金：李荣明广西壮族自治区自筹课题，合同号Z2013523.@@@@课题硬式宫腔镜在妇科连续诊疗中消毒灭菌方法优化和质量控制

摘　　要：目的为了优化妇科诊疗宫腔镜的清洗、消毒灭菌流程，探索经济、安全、快捷、高效灭菌方式。方法选取我院病人首次使用后污染的宫腔镜120件。随机分成3组，A组40件（传统方法组）：用传统方法清洗后浸泡于2％的普通戊二醛30分钟采样培养；B组40件（优化流程组）：酶＋超声清洗干净后，用50ml无菌注射器抽取75％乙醇20ml腔内注射灌洗，腔外75％乙醇纱布擦拭消毒，保留5分钟后浸泡于2％的强化戊二醛30分钟采样培养；C组40件（按规范清洗组）：先用酶液浸泡后，再用超声清洗，浸泡于2％的强化戊二醛30分钟采样培养。结果A组清洗质量合格率为57．5％（23／40），灭菌合格率为52．5％（21／40）；B组清洗质量合格率为100％（40／40），灭菌合格率为100％（40／40）；C组清洗质量合格率为90％（36／40），灭菌合格率为80％（32／40）；B组的和C组的清洗质量高于A组，有统计学意义；B组的灭菌合格率高于A组和C组．结论酶＋超声清洗既可提高腔镜的清洗质量，还可缩短清洗的有效时间；75％乙醇腔内注射灌洗，腔外75％乙醇纱布擦拭消毒，；提高诊疗宫腔镜的灭菌合格率。此方法经济、高效、安全、可靠、特别适合临床应用。Objective To optimize the cleaning, disinfection and sterilization process of gynecological diagnosis uteroscope, and explore an economic, security, and efficient sterilization methodo Method 120 cases of uteroscopes after used were recruited in this study. These uteroscopes were randomly divided into three groups for sterilization with 40 cases in each group： Group A were first clean with traditional method and then soaked in 2% common glutaraldehyde for 30 minutes; Group B were using enzyme and ultrasonic for cleaning, followed by 75% alcohol lavaging intra cavitary, and then soaked in 2% common glutaraldehyde for 30 minutes; Group C were using enzyme and ultrasonic for cleaning, and then soaked in 2% common glutaraldehyde for 30 minutes; all the three groups were sampling and cultivation.Result The cleaning and sterilization rate in Group A were 57.5% （23/40） and 52.5% （21/40） respectively; while both of these two rate in group B were 100% （40/40）; However, The cleaning and sterilization rate in Group A were 90% （36/40） and 80% （32/40）. After statistical analyzed, the cleaning rate in Group B and C were significant higher than that in Group A, Howerver, the sterilization rate in Group B was significant higher than that in group A and group C.Conelusion Enzyme and ultrasonic cleaning can not only improve the uteroscope cleaning quality, but also shorten cleaning time ; 75% alcohol lavaging intracavitary can rapidly improve the sterilization rate of diagnostic uteroscope sterilization. This method is economical, efficient, safe, reliable, and especially suitable for clinical application.

关 键 词：诊疗硬式宫腔镜 优化流程 清洗灭菌 质量 

分 类 号：R711[医药卫生—妇产科学]