床旁脉冲预处理对流产吸引管清洗质量的影响  

Effect of bedside pulse pretreatment on cleaning quality of abortion suction tube

作　　者：刘燕梅[1] 李莲英[1] 徐娟兰 黄小霞 桂华明 李丽冰 LIU Yanmei;LI Lianying;XU Juanlan;HUANG Xiaoxia;GUI Huaming;LI Libing(Disinfection Supply Room,Wuzhou Red Cross Hospital,Guangxi Zhuang Autonomous Region,Wuzhou 543002,China)

机构地区：[1]广西壮族自治区梧州市红十字会医院消毒供应室,广西梧州543002

出　　处：《中国当代医药》2024年第25期133-136,共4页China Modern Medicine

基　　金：广西壮族自治区卫生健康委员会自筹经费科研课题(Z20200909)。

摘　　要：目的通过对流产吸引管预处理方法进行改进,探索预处理时机与方法对管腔器械清洗质量的影响。方法选取2020年7月至2022年7月梧州市红十字会医院使用的600件流产吸引管为研究对象,按照抽签分组法分为A组(n=200)、B1组(n=200)和B2组(n=200)。A组预处理采用在流产吸引管使用后马上床旁使用负压吸引恒温多酶清洗剂进行脉冲冲洗管腔内壁方式进行处理;B1组和B2组预处理采用在流产吸引管使用后马上采用流动水下冲洗管腔内壁进行处理。经预处理的器械均放置3 h后集中回收到供应室进行进一步处理,A组直接放入超声波清洗机超声清洗5 min;B1组在常温多酶洗剂内浸泡20 min后再放入超声波清洗机超声清洗5 min;B2组在常温多酶清洗剂内浸泡15 min后用毛刷在液面下贯通管腔来回刷洗5次后再放入超声波清洗机超声清洗5 min。比较三组器械清洗质量。结果A组残留蛋白检测合格率、隐血试验合格率、白色通条检查合格率、带光源放大镜检查合格率均高于B1组和B2组,差异有统计学意义(P<0.001)。结论改进预处理方法将器械有效预处理的地点前移至使用科室,预处理时间前移至术后即时,既践行行业标准,又改进预处理方法,抓住污染管腔器械最佳处理时间以及酶洗剂最强效果,利用脉冲原理使污物从管腔内壁剥离达到理想的预处理效果,进而提高器械清洗质量。Objective By improving the pretreatment method of abortion suction tube,the influence of pretreatment time and method on the cleaning quality of luminal instruments were explored.Methods A total of 600 abortion suction tubes used in Wuzhou Red Cross Hospital from July 2020 to July 2022 were selected as the study objects and divided into group A(n=200),group B1(n=200)and group B2(n=200)according to the drawing method.The pretreatment of group A was performed by pulse flushing the inner wall of the tube with negative pressure suction constant temperature multi-enzyme cleaning agent next to the bed immediately after the abortion suction tube was used.Group B1 and group B2 were pretreated by running underwater flushing the inner wall of the tube immediately after the abortion suction tube was used.After being placed for 3 h,the pre-treated instruments were collected and sent to the supply room for further treatment.Group A were directly put into the ultrasonic cleaning machine for ultrasonic cleaning for 5 min.Group B1 was soaked in multi-enzyme lotion at room temperature for 20 min,and then washed by ultrasonic cleaning machine for 5 min.Group B2 was soaked in multi-enzyme cleaning agent at normal temperature for 15 min,and then brushed through the tube cavity with a brush for 5 times under the liquid level,and then put into the ultrasonic cleaning machine for ultrasonic cleaning for 5 min.The cleaning quality of three groups of instruments were compared.Results The pass rate of residual protein test,occultary blood test,white strip test and magnifying glass test in group A were higher than those in group B1 and B2,and the differences were statistically significant(P<0.001).Conclusion To improve the pretreatment method,the site of effective pretreatment of instruments was moved to the department of use,and the pretreatment time was moved to the immediate postoperative time,which not only practiced the industry standard,but also improved the pretreatment method,seized the best treatment time of contaminated lumen ins

关 键 词：床旁脉冲预处理 管腔器械 清洗质量 消毒供应室 

分 类 号：R197.39[医药卫生—卫生事业管理]