蒸汽清洗消毒与手工操作流程对机器人机械臂系统清洗消毒与灭菌的效果对比  

Comparative analysis of steam cleaning and disinfection versus manual operation procedures on the cleaning,disinfection and sterilization effect of robotic arms

作　　者：周晶晶[1] 陈晓玲[1] 季春艳[1] 周菊梅[1] 于海燕[1] ZHOU Jingjing;CHEN Xiaoling;JI Chunyan;ZHOU Jumei;YU Haiyan(Sterilization and Supply Center,Jiangsu Province Hospital of Chinese Medicine,Nanjing 210029,China)

机构地区：[1]江苏省中医院消毒供应中心,江苏南京210029

出　　处：《机器人外科学杂志(中英文)》2025年第3期431-434,共4页Chinese Journal of Robotic Surgery

基　　金：江苏省中医药管理局中医药科技发展计划项目(QN2023012)。

摘　　要：目的:对比分析蒸汽清洗消毒与常规手工操作流程对达芬奇床旁机械臂系统清洗消毒效果与灭菌率的影响。方法:回顾性分析2021年5月—2024年5月江苏省中医院手术使用完毕的120件IS4000达芬奇机械臂组件,根据清洗消毒流程分为观察组与对照组,每组各60件。对照组予以常规手工清洗消毒操作流程,观察组予以蒸汽清洗消毒操作流程。比较两种不同操作流程在达芬奇机械臂清洗消毒效率及灭菌率之间的差异。结果:观察组的目测评估合格率、腺苷三磷酸(ATP)检测表面合格率及水质合格率均高于对照组,操作时间短于对照组(P<0.05)。结论:蒸汽清洗消毒操作流程相比于常规手工清洗消毒操作流程,能够有效提高达芬奇床旁机械臂系统的清洗消毒效率及灭菌率,值得推广应用。Objective:To compare the effects of steam cleaning and disinfection versus conventional manual operation procedures on the cleaning efficacy and sterilization rate of Da Vinci robotic arms.Methods:A retrospective analysis was conducted on 120 IS4000 Da Vinci robotic arm components used in surgeries at Jiangsu Province Hospital of Chinese Medicine from May 2021 to May 2024.The components were divided into the observation group and the control group,with 60 components in each group.The control group underwent conventional manual cleaning and disinfection protocols,while the observation group received steam cleaning and disinfection.Differences in cleaning efficiency and sterilization rates between the two methods were evaluated and compared.Results:The observation group demonstrated higher pass rates in visual inspection,ATP-based bioluminescence testing,and water quality testing,along with shorter operational time compared to the control group(P<0.05).Conclusion:The steam cleaning and disinfection protocol can significantly improve the cleaning efficiency and sterilization rate of Da Vinci robotic arms compared to conventional manual procedures,which is worthy of clinical promotion.

关 键 词：机器人手术系统 机械臂清洗 蒸汽清洗 消毒效率 灭菌率 

分 类 号：R187[医药卫生—流行病学]