腹腔镜手术器械绝缘性能故障检测相关性研究  

Study on the Correlation of Insulation Fault Detection of Laparoscopic Surgical Instruments

作　　者：申良荣 胡梦璇 王韵 杨静 辛霞[2] 许丽荣[4] SHEN Liangrong;HU Mengxuan;WANG Yun;YANG Jing;XIN Xia;XU Lirong(Sterilization and Supply Center,First Affiliated Hospital of Xi’an Jiaotong University,Xi’an Shaanxi 710061,China;Department of Nursing,First Affiliated Hospital of Xi’an Jiaotong University,Xi’an Shaanxi 710061,China;Yan’an University,Yan’an Shaanxi 716000,China;Sterilization and Supply Center,Shaanxi Provincial People’s Hospital,Xi’an Shaanxi 710068,China)

机构地区：[1]西安交通大学第一附属医院消毒供应中心,陕西西安710061 [2]西安交通大学第一附属医院护理部,陕西西安710061 [3]延安大学,陕西延安716000 [4]陕西省人民医院消毒供应中心,陕西西安710068

出　　处：《中国医疗设备》2020年第5期75-78,82,共5页China Medical Devices

基　　金：院级基金项目(2018HL-09)。

摘　　要：目的对腹腔镜手术器械绝缘性能故障进行统计分析,并提出应对措施,以保障患者和操作者安全。方法采用目测法和仪器检测法分别对399件腹腔镜手术器械进行绝缘性能检测,比较两种方法检测腹腔镜手术器械绝缘性能的差别,分析绝缘故障的原因;并通过问卷调查的方法,了解腹腔镜手术器械绝缘性能临床现状。结果目测法和仪器检测法检出腹腔镜手术器械绝缘层故障率分别为38.6%和44.86%,绝缘层故障可发生于器械前端、中部、末端、手持部等任何部位。两种方法检出器械绝缘故障的种类、位置存在显著性差异(P<0.05)。结论腹腔镜手术器械存在较普遍的绝缘层故障,通过目测法和仪器检测法相结合的方法可提高器械绝缘层故障检出率,保障患者和医务人员安全。Objective To analyze statistically the insulation failure of laparoscopic surgical instruments and propose the countermeasures to ensure the safety of patients and operators.Methods Three hundred and ninety-nine pieces of laparoscopic surgical instruments were tested for insulation performance by visual inspection method and instrument inspection method,respectively.The insulation performance differences between the two methods were compared to analyze the causes of insulation failure.Through the method of questionnaire survey,the clinical status of laparoscopic surgical instrument insulation performance was investigated.Results The failure rates of the insulation layer of laparoscopic surgical instruments detected by visual measurement method and instrument detection method were 38.6%and 44.86%,respectively.The insulation layer failure could occur in the front,middle,end and hand parts of the instrument.There were significant differences in the types and locations of insulation faults detected by the two methods(P<0.05).Conclusion The insulation failure of laparoscopic surgical instruments is common.The combination of visual and instrument detection methods can improve the fault detection rate of insulating layer of instruments and ensure the safety of patients and medical personnel.

关 键 词：腹腔镜手术器械 绝缘层故障 绝缘检测仪 目测法 

分 类 号：R197.39[医药卫生—卫生事业管理]