手—供联合保湿预处理对双极电凝钳的清洗效果  

Cleaning ef fect of hand supply integrated surgical instrument pretreatment and moisturizing method on bipolar electrocoagulation forceps

作　　者：韦秀佳[1] 黄彩振 王开秀[1] 丁赟[1] 唐小敏[1] WEI Xiujia;HUANG Caizhen;WANG Kaixiu;DING Yun;TANG Xiaomin(Affiliated Hospital of Guangxi Guilin Medical College,Guilin,541001,China)

机构地区：[1]广西桂林医学院附属医院,广西壮族自治区桂林市541001

出　　处：《护理实践与研究》2022年第21期3277-3280,共4页Nursing Practice and Research

基　　金：广西壮族自治区卫生健康委员会自筹经费科研课题(编号:Z20200502)。

摘　　要：目的探讨手—供联合保湿预处理对双极电凝钳的清洗效果。方法选取2020年7—12月医院手术室使用的的双极电凝钳200件为研究对象,分为对照组和观察组,每组各100件。用不同保湿方法对两组器械进行保湿。对照组用配制好的多酶保湿液直接对用后的双极电凝钳进行喷洒保湿预处理;观察组将用完的双极电凝钳用流动水冲洗器械表面、管腔内、关节齿牙处等血污渍后再进行保湿预处理;两组保湿后均存于带盖密闭回收箱内2 h,再送回消毒供应中心,按照清洗流程对双极电凝钳预清洗后放进真空沸腾式清洗机清洗。分别采用目测法、10倍放大镜检测法、湿白条、测试蛋白质残留拭子(RESI-TEST TM SWAB)残留蛋白检测法检测腔镜器械表面、管腔、关节齿牙的清洗质量。结果两组双极电凝钳器械表面清洗质量三种检测方法(目测法、10倍放大镜、残留蛋白检测)的检测合格率非常接近,合格率均达到96%以上,组间差异无统计学意义(P>0.05);两组双极电凝钳关节、齿牙清洗质量比较显示,观察组三种检测方法(目测法、10倍放大镜、残留蛋白检测)的检测合格率均高于对照组,差异有统计学意义(P<0.05);两组电凝钳管腔内部清洗质量检测结果比较显示,观察组湿白条、残留蛋白检测的合格率高于对照组,差异有统计学意义(P<0.05)。结论用后的双极电凝钳用流动水冲洗器械表面、关节齿牙处、管腔内残留变性、炭化、干涸的结痂组织后,再进行保湿预处理,其清洗质量明显提高。Objective To investigate the cleaning ef fect of hand supply combined moisturizing pretreatment bipolar electric coagulation forceps.Methods 200 bipolar electrocoagulation forceps applied in the hospital operating room from July to December 2020 were selected as the research objects and divided into the control group and the observation group,with 100 pieces in each group.Two groups of instruments were moisturized with dif ferent methods.The control group sprayed the bipolar electrocoagulation forceps with the prepared multienzyme moisturizer.In the observation group,the bipolar electric coagulation forceps were washed with running water on the surface,lumen,articular teeth and other blood stains,and then subjected to moisturizing pretreatment.After moisturizing,both groups were stored in the closed recycling box with cover for 2 h,and then returned to the disinfection supply center.The bipolar electric coagulation forceps were pre-cleaned according to the cleaning process,and then put into the vacuum boiling cleaning machine for cleaning.The cleaning quality of the surface,lumen and articular teeth of the endoscopic instruments were detected by visual inspection,10 times magnifying glass detection,wet white strip and RESI-TESTTM SWAB residual protein detection.Results The qualifi ed rates of the three detection methods(visual inspection method,10 times magnifying glass,residual protein detection)were highly close between the two groups,and the qualified rates were above 96%.There was no significant difference between the two groups(P>0.05).The comparison of bipolar electrocoagulation forceps joint and tooth cleaning quality between the two groups showed that the qualifi cation rates of the three detection methods(visual inspection,10 times magnifying glass,residual protein detection)in the observation group were higher than the control group,the diff erences were statistically signifi cant(P<0.05).The comparison of the inspection results of the internal cleaning quality of the electrocoagulation forceps between

关 键 词：手术室 消毒供应中心 双极电凝钳 保湿剂 保湿预处理 清洗质量 

分 类 号：R47[医药卫生—护理学]