改良式内镜手术器械挂架预防内镜手术相关感染及仪器污染的效果  

Effect of modified endoscopic instrument rack on prevention of endoscopic surgery-related infection and instrument contamination

作　　者：王雪飞[1] 楼奇峰 张红[1] WANG Xue-fei;LOU Qi-feng;ZHANG Hong(Taizhou Municipal Hospital,Taizhou,Zhejiang 3l8000,China;不详)

机构地区：[1]台州市立医院内镜中心,浙江台州318000 [2]杭州市第一人民医院内镜中心,浙江台州310006

出　　处：《中华医院感染学杂志》2024年第8期1272-1275,共4页Chinese Journal of Nosocomiology

基　　金：浙江省医药卫生科技计划基金资助项目(2019RC068);台州市科学技术局基金资助项目(22ywa40)。

摘　　要：目的探讨改良式内镜手术器械挂架在内镜手术配台操作治疗中应用的效果。方法从2018年8月-2019年8月台州市立医院收治的需要进行内镜黏膜剥离术患者62例作为对照组,采取普通内镜手术器械手术台。从2019年9月-2020年9月,选择65例需要进行内镜黏膜剥离术手术的黏膜下肿瘤患者作为研究对象作为研究组,采取改装成的内窥镜手术器械架。采用相同的操作程序、相同的操作人员、相同的手术条件,观察两组手术过程,并记录两组拿取仪器错误次数和取仪器过程中的仪器污染情况。记录两组的内镜黏膜剥离术操作时间。结果对照组拿取附件总出错率15.40%,研究组1.74%,对照组拿取附件出错率更高(P<0.05),研究组手术时间较对照组缩短(P<0.05);对照组附件污染率为12.63%,研究组1.39%,对照组附件污染率高于研究组(P<0.05);研究组手术感染发生率低于对照组(P<0.05)。结论改良式内镜手术器械挂架可有效缩短手术时间,降低手术感染率、手术相关附件污染率、附件取出出错率。值得临床关注。OBJECTIVE To explore the effect of the modified endoscopic instrument rack on the endoscopic opera-tion.METHODS From Aug 2018 to Aug 2019,62 patients who needed endoscopic mucosal dissection were hospi-talized in Taizhou Municipal Hospital as the control group,and ordinary endoscopic surgical instruments were used.From Sep 2019 to Sep 2020,65 patients with submucosal tumors requiring endoscopic mucosal dissection were selected as the study subjects and were treated with modified endoscopic surgical instrument rack.The same operating procedure,the same operator and the same operating conditions were used to observe the operation process of the two groups,and the number of errors in taking the instrument and the contamination of the instru-ment in the two groups were recorded.The operation time of endoscopic mucosal dissection was recorded in the two groups.RESULTS The total error rate was 15.40%in the control group and 1.74%in the study group,which indicated the higher error rate in the control group(P<0.05).The operation time in the study group was shorter than that in the control group(P<0.05).The proportions of attachment pollution were 12.63%in the control group and 1.39%in the study group,and that in the control group was higher than the study group(P<0.05).The incidence of surgical infection in the study group was lower than that in the control group(P<0.05).CONCLUSION The modified endoscopic instrument rack can effectively shorten the operation time,reduce the rates of surgical infection,contamination of surgery-related accessories and error in removing accessories.It de-serves clinical attention.

关 键 词：内镜黏膜剥离术 黏膜下肿瘤 内镜手术相关感染 改良式内镜手术器械挂架 仪器污染 

分 类 号：R472[医药卫生—护理学]