金属器械包重量与摆放对压力蒸汽灭菌干燥效果的影响

发布时间：2018-05-18 10:55

本文选题：超重器械包 + 压力蒸汽灭菌　；参考：《中华医院感染学杂志》2014年22期

【摘要】：目的研究消毒供应中心(CSSD)金属器械灭菌包重量与摆放对压力蒸汽灭菌干燥效果的影响,为实际工作中建立标准化的工作规程提供依据。方法选择金属器械包装成两组,分别为:A组不超重包和B组超重包,每组再分类为不重叠、重叠,试验运行共20炉次;灭菌前对各类灭菌包进行称重,将两组各类待灭菌包平放在同一炉次进行灭菌,完成后2min内取出灭菌包并称重,待灭菌包冷却后检查包内外潮湿情况,比较各类灭菌包在不同重量、不同摆放方式下的灭菌干燥效果。结果 A组不重叠包装时干燥度试验合格率为100.0%,重叠包装时干燥度试验不合格率为55.0%,湿包发生率为45.0%;B组不重叠包装时干燥度试验不合格率为65.0%,湿包发生率为60.0%,重叠包装时干燥度试验不合格率为100.0%,湿包发生率为100.0%,各组灭菌包的灭菌干燥效果比较,差异有统计学意义(P0.01)。结论超重、重叠器械包对压力蒸汽灭菌干燥有很大的影响,明显降低了灭菌干燥质量,建立科学的工作质量标准和操作规程、做好人员培训,对提高灭菌质量非常重要。
[Abstract]:Objective to study the influence of the weight and placement of sterilizing bag on the drying effect of pressure steam sterilization in CSSD, so as to provide the basis for the establishment of standardized working rules in practical work. Methods Metallic instruments were packed into two groups: group A was not overweight and group B was overweight. Each group was classified as non-overlapping, and the test was carried out for 20 heats, and all kinds of sterilizing bags were weighed before sterilization. The two groups of different kinds of sterilizing bags were put flat in the same furnace for sterilization. After completion, the sterilizing bags were taken out and weighed in 2min. After cooling, the damp conditions inside and outside the bags were checked, and the different kinds of sterilizing bags were compared in different weights. Sterilization and drying effect under different placing methods. Results the eligible rate of dry degree test was 100.0in group A, the unqualified rate of dryness test was 55.0 in overlapping packing, the rate of dry degree test in group B was 45.0, the unqualified rate of dryness test in group B was 65.0, the rate of wet package was 60.0, the weight of wet package was 60.0. The unqualified rate of drying degree test and the incidence of wet package were 100.0 and 100.0.The results of sterilization and drying of each group were compared. The difference was statistically significant (P 0.01). Conclusion the overweight and overlapping instrument packs have a great influence on the pressure steam sterilization drying. It is very important to improve the sterilization quality by establishing the scientific working quality standard and operating procedure and doing the personnel training well.
【作者单位】：广州市番禺区中心医院消毒供应中心;
【基金】：广东省自然科学基金资助项目(S2013010011527)
【分类号】：R187.4

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