应用不同吸水材料预防手术器械湿包效果的研究  

The effect of different absorb moisture materials on wet surgical equipment package

作　　者：林素英[1] 徐金芳[1] 俞巧娣[1] 郁葵[1] 程海霞[2] 张一[3] 张丽[1] 朱红梅[1] 徐静娟[4] 马华[1] 戴亚芬[1] LIN Suying XU Jinfang YU Qiaodi YU Kui CHENG Haixia ZHANG Yi ZHANG Li ZHU Hongmei XU Jingjuan MA Hua DAI Yafen(Central Sterile Supply Department, The First People＇s Hospital of Changzhou, Changzhou, Jiangsu province, 213003, China)

机构地区：[1]常州市第一人民医院消毒供应中心,江苏省213003 [2]常州市第一人民医院临床药物试用办公室,江苏省213003 [3]常州市第一人民医院神经外科,江苏省213003 [4]常州市第一人民医院护理部,江苏省213003

出　　处：《中国护理管理》2017年第4期521-524,共4页Chinese Nursing Management

基　　金：2013年常州市卫生局科研项目(KY201340)

摘　　要：目的:观察不同吸水材料对手术器械湿包的控制成效,提高手术器械无菌包质量。方法:将剖腹手术器械920包次随机分成8组,观察分别用棉布或无纺布外包装,包内吸水材料分别采用单层棉布、双层棉布、特制纱布垫、一次性医用吸水纸的手术器械压力蒸汽灭菌后湿包情况。结果:棉布或无纺布包装包内采用双层棉布湿包率分别为10.4%和20.0%,两组存在统计学差异(P<0.05);棉布或无纺布包装包内采用特制纱布垫湿包率分别为8.7%和31.3%,两组存在统计学差异(P<0.01);棉布包装包内采用单层棉布、双层棉布湿包率分别为24.3%、10.4%,存在统计学差异(P<0.05);棉布包装包内采用单层棉布、特制纱布垫湿包率存在统计学差异(P<0.05)。结论:包内采用相同吸水材料时,双层棉布或特制纱布垫组采用棉布包装湿包率低于无纺布;包内采用不同吸水材料时,单层棉布、特制纱布垫组分别在棉布、无纺布包装中湿包率最高。Objective： To explore the effect of different absorb moisture materials on the wet surgical equipment package and to improve the sterility quality of surgical equipment package. Methods： Using random classification method, we observed 920 surgical instrument packages with different packaging materials, including single-layer cotton, double-layer cotton, special gauze absorbent pad and disposable medical absorbent paper. After the pressure steam sterilization process, we compared the incidence of wet packages. Results： The wet package rates of double-layer cotton in cotton or non-woven packaging were 10.4% and 20.0%, respectively, which was significantly different （P〈0.05）. The wet package rates of special gauze absorbent pad in cotton or non-woven packaging were 8.7% and 31.3%, respectively, which was significantly different （P〈0.01）. When using cotton as the outer package, the wet package rates of double-layer cotton and single-layer cotton were 10.4% and 24.3%, respectively, which was significantly different （P〈0.05）. When using cotton as the outer package, the wet package rates of special gauze absorbent pad and single-layer cotton had significantly different （P〈0.05）. Conclusion： When using the same absorbent material, the incidence of wet packages in cotton with double- layer cotton or special gauze absorbent pad were lower than that of non-woven packaging. When using different absorbent materials, single-layer cotton as the outer packaging and special gauze absorbent pad had the highest incidence of wet package in cotton and in non-woven packaging, respectively.

关 键 词：手术器械 吸水材料 湿包 

分 类 号：R47[医药卫生—护理学]