儿童持续正压通气呼吸机管路集中管理效果  

Study on the effect of centralized management of children's CPAP ventilator

作　　者：张以梅[1] 王旭梅[1] 曹力[2] ZHANG Yi - mei WANG Xu - mei CAO Li(Beijing Children＇s Hospital Affiliated to Capital University of Medical Sciences,Beijing 100045, 1 General Hospital of Chinese People＇s Armed Police Forces, China)

机构地区：[1]首都医科大学附属北京儿童医院,北京100045 [2]中国武警总医院

出　　处：《中国消毒学杂志》2017年第5期450-452,共3页Chinese Journal of Disinfection

摘　　要：目的总结儿童持续正压通气(CPAP)呼吸机管路集中管理各环节存在问题,评价针对性措施的效果。方法采集2010年1月1日-2015年12月31日首都医科大学附属北京儿童医院消毒供应中心集中管理儿童CPAP呼吸机管路的登记数据,分析回收、清洗消毒、检查包装及储存发放4个集中管理环节所出现的问题进行及相关措施的效果。结果统计期内问题管路数量呈逐年下降趋势,而合格率由2010年的65.99%提升至2015年的98.32%,差异有统计学意义(P<0.05);2010-2013年问题管路的发生率差异有统计学意义(P<0.05),比较2013-2015年问题管路明显减少并稳定在一定数量,问题管路的发生率差异无统计学意义(P>0.05)。结论回收环节做好与临床科室的沟通;清洗消毒环节做好预处理及规范装载;检查包装环节做好规范卸载及二次干燥,做好储存发放环节的管理,可以减少问题管路的产生。Objective To solve the children CPAP ventilator pipeline management of all aspects of the difficulties, and to evaluate. Methods Collected from January 1,2010 to December 31,2015 by the hospital disinfection supply center cen- tralized management of children CPAP ventilator pipeline were studed for recycling, cleaning and disinfection, inspection and storage. 4 sets of centralized management of the problems were analyzed, studied and developed. The results of the 6 - year study were analyzed by SPSS 19.0 software package. Results The number of problem pipelines in 2010 - 2015 was de- creasing year by year, the difference was statistically significant （P 〈 0.05 ）. Comparison of the incidence of problems be- tween 2010 and 2013 was statistically significant （ P 〈 0.05 ）, Compared with the 2013 - 2015, the number of tubing was significantly reduced and stabilized at a certain number, and the incidence of the problem was not statistically significant （P 〉 0.05）. Conclusion Recycling links with well communication to the clinical department, cleaning and disinfection steps with good pretreatment and standard loading, checking the packaging with standard unloading and secondary drying, strict management of storage and distribution can reduce problems of pipe production to ensure the safety of patients.

关 键 词：儿童CPAP呼吸机管路 集中管理 效果 

分 类 号：R187.1[医药卫生—流行病学]