中国2359所医疗机构洁净手术室使用现状调查  

Current status of use of clean operating rooms in 2359 Chines hospitals

作　　者：胡国庆[1] 李晔[1] 高晓东 黄小强[3] 陆烨[1] HU Guo-qing;LI Ye;GAO Xiao-dong;HUANG Xiao-qiang;LU Ye(Zhejiang Provincial Center for Disease Prevention and Control,Hangzhou,Zhejiang 310051,China)

机构地区：[1]浙江省疾病预防控制中心传染病防制所,浙江杭州310051 [2]复旦大学附属中山医院感染管理科,上海200032 [3]中山市小榄人民医院医院感染管理科,广东中山528415

出　　处：《中华医院感染学杂志》2018年第22期3497-3500,共4页Chinese Journal of Nosocomiology

基　　金：上海市卫生计生委基金资助项目(201640313)

摘　　要：目的为了解我国医疗机构洁净手术室建设、使用、维护和性能检测现状。方法采用电子问卷调查方式,在全国医院感染预防与控制和手术室专业相关网络平台发布调查问卷,医院感染管理人员或手术室护士长自愿填写并提交问卷。结果 2 359家医疗机构的问卷调研结果表明,88.30%医疗机构配置了洁净手术室,其中97.28%三级医院配置了洁净手术室,70.36%三级医院的手术室全部都是洁净手术室。2 083家配置洁净手术室的医疗机构中有81.33%配置了5级洁净手术室,三级医院中有91.84%配置5级洁净手术室;37.54%洁净手术室的使用年限小于5年,39.70%的使用年限为5～10年,22.76%的使用年限超过10年,但仅54.5%医疗机构设专人维护洁净手术室,28.18%医疗机构只对洁净手术室偶尔检测或从不检测,使用中洁净手术室的性能检测合格率为76.5%;调查还发现,49.64%医疗机构的医护人员对使用中洁净手术室的舒适性有抱怨。结论我国医疗机构洁净手术室配置比例过高,同时存在使用中洁净手术室性能检测不合格、维护管理不到位、人员使用不舒适等问题;医院应根据需求合理配置洁净手术室,不应把手术室都建成洁净手术室。OBJECTIVE To understand the current status of construction,use,maintenance and performance test of clean operating rooms of medical institutions in China.METHODS By means of online questionnaire survey,the questionnaires were released through national infection prevention and control network platforms,the infection control staff or head nurses of operating rooms volunteered to fill out and submitted.RESULTS The questionnaire survey showed that of 2 359 medical institutions,88.30% were equipped with clean operating rooms,97.28% of the tertiary hospitals were equipped with clean operating rooms,and all of the operating rooms were clean operating rooms in 70.36% of the tertiary hospitals.Of 2 083 medical institutions that were equipped with clean operating rooms,81.33% were equipped with grade 5 clean operating rooms,and 91.84% of the tertiary hospitals were equipped with grade 5 clean operating rooms.There were 37.5% of the clean operating rooms whose service life was less than 5 years,39.70%ranging between 5 and 10 years,22.76% exceeding 10 years;only 54.5% of the medical institutions maintained the clean operating rooms by dedicated staff,28.18% of the medical institutions occasionally or never examine the clean operating room.The qualified rate of the performance of clean operating rooms in use was 76.47%.The survey also showed that the health care workers of 49.6% of the medical institutions complained the comfort of the clean operating rooms.CONCLUSION The proportion of the medical institutions that are equipped with clean operating rooms is excessively high in China,there are such problems as the unqualified performance test,poor maintenance and uncomfortableness of the clean operating rooms.It is necessary for the hospital to reasonably allocate the clean operating rooms based on its own needs.

关 键 词：洁净手术室 建设 运行 维护 

分 类 号：R612[医药卫生—外科学]