不同清洗方法对腹腔镜手术器械灭菌效果的影响

发布时间：2018-06-13 03:35

本文选题：腹腔镜手术器械 + 清洗方法　；参考：《中华医院感染学杂志》2014年19期

【摘要】：目的探讨不同清洗方法对腹腔镜手术器械清洗和灭菌效果的影响。方法选择2010年5月-2012年2月使用后的腹腔镜手术器械2 499件,将其随机分为A组833件、B组833件、C组833件,分别采用单纯手工清洗方法、手工加酶清洗方法、加酶超声清洗方法,清洗效果监测采用目测检查,3组器械均采用高压蒸汽灭菌器灭菌,灭菌后采用营养琼脂培养法对腹腔镜手术器械进行细菌学检测,数据采用SPSS13.0软件进行统计分析。结果清洗效果合格率A、B、C 3组分别为93.9%、97.4%、100.0%,C组清洗合格率明显优于B组和A组,差异有统计学意义(P0.05);器械灭菌后A、B、C 3组细菌学检测合格率依次为95.7%、97.2%、100.0%,C组细菌学检测合格率明显优于B组和A组,差异有统计学意义(P0.05)。结论超声联合多酶清洗显著提高器械的清洗质量,可作为一种有效、安全、简便的清洗方法在临床中广泛应用。
[Abstract]:Objective to investigate the effect of different cleaning methods on cleaning and sterilization of laparoscopic instruments. Methods A total of 2 499 laparoscopic instruments were selected from May 2010 to February 2012 and randomly divided into group A (833 pieces) and group B (833 pieces) and group C (833 pieces). Manual cleaning method, manual enzyme cleaning method and enzyme ultrasonic cleaning method were used respectively. Three groups of instruments were sterilized by high pressure steam sterilizer. After sterilization, the bacteriological tests of laparoscopic instruments were carried out by nutrient Agar culture method. The data were analyzed by SPSS 13.0 software. Results the qualified rate of cleaning effect in group A was 93.9% and 97.4% in group C, respectively. The qualified rate of cleaning in group C was significantly better than that in group B and group A. The qualified rate of bacteriological examination in group A BX C 3 after sterilizing instruments was 95.7% and 97.2% respectively. The qualified rate of bacteriological examination in group C was significantly better than that in group B and group A, and the difference was statistically significant (P 0.05). Conclusion Ultrasound combined with multi-enzyme cleaning can significantly improve the cleaning quality of the instrument and can be widely used in clinical practice as an effective, safe and simple cleaning method.
【作者单位】：聊城市人民医院消毒供应中心;
【基金】：聊城市科技局科技基金资助项目(聊科成鉴2013-169)
【分类号】：R187.4

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