传统清洗与机械清洗对达芬奇机器人手臂清洗效果比较  

Cleaning effects of traditional cleaning and mechanical cleaning on arms of Da Vinci robot

作　　者：孙雪莹[1] 史安云 甘志连 邱素红[2] SUN Xue-ying;SHI An-yun;GAN Zhi-lian;QIU Su-hong(Chinese PLA General Hospital Second Medical Center,Beijing 100853,China;不详)

机构地区：[1]解放军总医院第二医学中心消毒供应室 [2]解放军总医院第一医学中心消毒供应室,北京100853

出　　处：《中华医院感染学杂志》2021年第22期3500-3503,共4页Chinese Journal of Nosocomiology

基　　金：全军青年培育基金资助项目(13QNP171)。

摘　　要：目的比较传统清洗与机械清洗对达芬奇机器人手臂清洗效果。方法解放军总医院根据规范建立达芬奇机器人手臂清洗效果测试模型,通过分析不同类型达芬奇机器人手臂的结构特点,选取马里兰双极钳作为清洗目标物,采用传统清洗方法和机械清洗方法对达芬奇机器人手臂进行清洗测试,通过目测法观察洗后有无污染物残留,通过改良邻苯二甲醛(OPA)法检测洗后残留蛋白,最终比较两种清洗方法的清洗效果。结果采用目测检查的方法,传统清洗方法和机械清洗方法都合格;通过改良OPA法对残留蛋白检测,机械清洗方法残留蛋白量最大值为74μg/件、0.26μg/cm;传统清洗方法残留蛋白量最大值为151μg/件、0.54μg/cm^(2),机械清洗方法残留蛋白量低于传统清洗方法,差异有统计学意义(P<0.05)。结论两种清洗方法都能达到规范要求的残留蛋白,但两种方法相比较,机械清洗方法的蛋白残留要低于传统清洗方法。OBJECTIVE To compare the cleaning effects of traditional cleaning and mechanical cleaning on arms of Da Vinci robot. METHODS The test model of cleaning effect of Da Vinci robot arms was established by PLA General Hospital based on standards, the structural characteristics of different types of Da Vinci robot arms were analyzed, Maryland bipolar forceps were selected as the cleaning targets. The traditional cleaning method and mechanical cleaning method were used to clean the Da Vinci robot arms. The residual pollutants were observed by visual method after washing, the residual proteins were detected by modified O-phthalaldehyde(OPA) method after washing, and the cleaning effects were compared between the two methods. RESULTS The test results of both the traditional cleaning method and the mechanical cleaning method were qualified by visual inspection. By means of the modified OPA method, the maximum volume of residual proteins of the mechanical cleaning methods was 74 μg/piece, 0.26 μg/cm;, less than 151 μg/piece, 0.54 μg/cm;of the traditional cleaning method, and there was significant difference(P<0.05). CONCLUSION Both of the cleaning methods can meet standard requirements for residual proteins, however, the residual proteins of the mechanical cleaning method are less than those of the traditional cleaning method.

关 键 词：达芬奇机器人手臂 清洗效果 改良邻苯二甲醛法 传统清洗 机械清洗 

分 类 号：R472.1[医药卫生—护理学]