广东省中医(中西医结合)医院洁净手术室建设现状调查  

Current situation of clean operating rooms in Guangdong provincial hospitals of traditional Chinese medicine or integrated Chinese and western medicine

作　　者：李文辉 罗彩娟[1] 何浩[1] 伍艳明[1] 赖健仪 LI Wen-hui;LUO Cai-juan;HE Hao;WU Yan-ming;LAI Jian-yi(The First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510405,China;Stomatdogical Hospital of Southern Medical University,Guangzhou 510280,China)

机构地区：[1]广州中医药大学第一附属医院,广州510405 [2]南方医科大学口腔医院,广州510280

出　　处：《医疗卫生装备》2024年第10期77-83,共7页Chinese Medical Equipment Journal

基　　金：广东省中医药局科研项目(20204004)。

摘　　要：目的:调查广东省中医(中西医结合)医院洁净手术室建设现状,为规范、合理建设洁净手术室提供依据。方法:根据GB50333—2013《医院洁净手术部建筑技术规范》及WS/T368—2012《医用空气净化管理规范》中的要求设计调查问卷,并于2021年3一10月对广东省64家二级及以上中医(中西医结合)医院的手术室进行问卷调查及实地考察,调查内容包括手术室基本情况、洁净手术室建设总体要求、洁净手术室布局要求及洁净手术室的建筑装饰情况。结果:64家调查医院中51家(79.7%)已建成洁净手术室。三级医院主要配置Ⅲ级洁净手术室(45.8%),二级医院主要配置普通手术室(35.0%)及Ⅲ级洁净手术室(29.2%),不同等级医院间手术室配置类型及级别比较差异有统计学意义(P<0.001)。三级医院配置洁净手术室和最高配置I级洁净手术室的比例也明显高于二级医院(94.3%vs62.1%,88.6%vs44.8%),差异有统计学意义(P<0.05)。66.7%的医院配置了负压手术室;超过1/2医院(56.9%)的洁净手术室使用年限超过10年。所有三级医院的人流通道均不设空气吹淋室,但16.7%的二级医院设有空气吹淋室,差异有统计学意义(P<0.05)。各医院洁净手术室的建筑装饰项目大多符合规范(符合率>80.0%),且二、三级医院间比较差异无统计学意义(P>0.05);78.8%的三级医院手术室建筑装饰符合总原则的要求,明显低于二级医院的100.0%,差异有统计学意义(P<0.05)。结论:广东省中医(中西医结合)医院手术室配置较合理,但洁净手术室的总体要求、布局及建筑上仍有不足,须加强对洁净手术室的指导、监督和管理,按标准规划、建设洁净手术室。Objective To explore the current situation of the clean operating rooms in Guangdong provincial hospitals of traditional Chinese medicine or integrated Chinese and western medicine to provide references for standardizing the construc-tion of the clean operating room.Methods A questionnaire was designed according to GB 50333—2013 Architectural technical code for hospital clean operating department and WS/T 368-2012 Management specification of air cleaning technique in hospitals,and a questionnaire survey and field investigation were conducted from March to October 2021 on the operating rooms of 64 secondary and above hospitals of traditional Chinese medicine or integrated Chinese and western medicine in Guangdong province,which involved in the basic situation of the operating rooms,general requirements for constructing clean operating rooms,requirements for the layout of clean operating rooms and architectural decorations of the clean operating rooms.Results Of the 64 hospitals surveyed there were 51 ones(79.7%)with clean operating rooms.Tertiary hospitals were mainly equipped with Class II clean operating rooms(45.8%),secondary hospitals were provided with general operating rooms(35.0%)and Class II clean operating rooms(29.2%),and the differences in the types and classes of the operating rooms in levels of hospitals were statistically significant(P<0.001).The proportions of tertiary hospitals configured with clean operating rooms and the highest configuration of Class I clean operating rooms were also significantly higher than those of secondary hospitals(94.3%vs 62.1%and 88.6%vs 44.8%,respectively),with statistically significant differences(P<0.05).There were 66.7%hospitals equipped with negative pressure operating rooms;more than 1/2(56.9%)of the hospitals had the service time of their clean operating rooms longer than 10 years.Allthe tertiary hospitals did not have air shower rooms in their walkways,while 16.7%secondary hospitals did,with the difference being statistically significant(P<0.05).Most of the bui

关 键 词：中医(中西医结合)医院 洁净手术室 手术室配置 手术室建设 

分 类 号：R318[医药卫生—生物医学工程] R612[医药卫生—基础医学]