流程优化管理对达芬奇机器人手术器械清洗质量的影响  

Effect of process optimization management on the cleaning quality of Da Vinci robotic surgical instruments

作　　者：刘红娜 杨鹏翾 刘梦梅 朱莹 LIU Hongna;YANG Pengxuan;LIU Mengmei;ZHU Ying(Sterilization and Supply Center,the 980th Hospital of PLA Joint Logistics Support Force,Shijiazhuang 050000,China)

机构地区：[1]中国人民解放军联勤保障部队第九八〇医院消毒供应室,河北石家庄050000

出　　处：《机器人外科学杂志(中英文)》2025年第3期427-430,共4页Chinese Journal of Robotic Surgery

基　　金：2023年度河北省医学科学研究课题计划(20231302)。

摘　　要：目的:探究流程优化管理对达芬奇机器人手术器械清洗质量的影响。方法:分别将2021年11月—2022年11月和2022年12月—2023年12月中国人民解放军联勤保障部队第九八〇医院消毒供应室回收的达芬奇机器人手术器械作为常规清洗组(采用制造商推荐的清洗程序进行清洗)和优化管理组(采用器械清洗流程优化管理进行清洗)。通过目测、光源放大镜检测和三磷酸腺苷(ATP)生物荧光检测三种评价方法验证器械的清洗质量。结果:通过目测,优化管理组器械清洗的合格率为96.88%,常规清洗组的合格率为93.75%,两组间目测合格率差异无统计学意义(P>0.05);光源放大镜检测结果显示,优化管理组器械清洗的合格率为94.79%,常规清洗组的合格率为86.46%,优化管理组显著高于常规清洗组(P<0.05);ATP生物荧光检测结果显示,优化管理组器械清洗的合格率为91.21%,常规清洗组的合格率为80.72%,优化管理组显著高于常规清洗组(P<0.05);优化管理组清洗质量评分和消毒质量评分显著高于常规清洗组(P<0.05)。结论:器械清洗流程优化管理能有效提高达芬奇机器人手术器械清洗质量。Objective:To explore the effect of instrument cleaning process optimization management on the cleaing quality of Da Vinci robotic surgical instruments.Methods:The Da Vinci robotic surgical instruments recovered from the Sterilization and Supply Center in the 980th Hospital of PLA Joint Logistics Support Force from November 2021 to November 2022 were assigned to the routine cleaning group(using cleaning program recommended by the manufacturer)and the instruments recovered from December 2022 to December 2023 were assigned to the optimization management group(using cleaning process optimization management for instrument cleaning).The cleaning quality of instruments was verified by three evaluation methods:visual inspection,lighted magnifier inspection,and adenosine triphosphate(ATP)bioluminescence detection.Results:Through visual inspection,the pass rate of instrument cleaning was 96.88%in the optimization management group and 93.75%in the routine cleaning group,the difference was not statistically significant(P>0.05).The results of lighted magnifier inspection showed that the pass rate of instrument cleaning in the optimization management group was 94.79%,which was significantly higher than that of 86.46%in the routine cleaning group(P<0.05).ATP biofluorescence detection results showed the qualified rate of instrument cleaning in the optimization management group was 91.21%,which was significantly higher than that of 80.72%in the routine cleaning group(P<0.05).The scores of cleaning and disinfection quality in the optimization management group were significantly higher than those of the routine cleaning group(P<0.05).Conclusion:Optimized management of the instrument cleaning process can effectively improve the cleaning quality of Da Vinci robotic surgical instruments.

关 键 词：流程优化 达芬奇机器人 手术器械 清洗质量 

分 类 号：R608[医药卫生—外科学]