不同保湿预处理方法对金属管腔器械清洗效果的观察

发布时间：2019-05-11 23:44

【摘要】：目的通过临床对比试验分析酶清洁剂、碱性清洁剂、纯水和预保湿凝胶用于器械的保湿后清洗效果,优选有效的保湿预处理方法。方法取妇科宫腔金属吸引器250件,每件器械均试验8次,共2000个试验样本,将器械染血、干燥后随机分为A、B、C、D、E 5组,分别采用A组纯水、B组1∶200多酶清洁剂、C组1∶200碱性清洁剂、D组STERIS预保湿凝胶进行喷洒保湿处理、E组为对照组不进行保湿处理,于4、24h分两次进行清洗并用目视法和隐血试验检测器械表面和管腔内的清洗效果。结果 4h时,器械表面清洗效果合格率E组仅为60.5%,其他组均98.5%;管腔内壁目测合格率E组和A组的为79.0%、78.5%,残留血试验两组合格率为85.0%、82.0%,其他各组两种检测方法合格率均92.5%;24h时,器械表面清洗效果检测E组合格率仅为40.5%,其他组最低为94.5%;管腔内壁检测,D组目测合格率为97.5%、残留血试验合格率为98.0%、B组合格率均为87.5%和89.5%、C组合格率为84.0%和85.5%,D组与其他组别相比,差异有统计学意义(P0.05)。结论预保湿凝胶保湿效果优异,酶清洗剂和碱性清洁剂可用于短时间的保湿,而纯水用于保湿预处理基本无效。
[Abstract]:Objective to analyze the cleaning effect of enzyme detergent, alkaline detergent, pure water and pre-moisturizing gel on the instrument after moisturizing, and to optimize the effective methods of moisturizing pretreatment. Methods 250 pieces of gynecological uterine metal suction were taken, each of which was tested 8 times with a total of 2000 test samples. After drying, the instruments were randomly divided into 5 groups: group A, B, D, E, group A, pure water, respectively. Group B, group C, group C. After 4 h, 24 h cleaning was performed twice and visual test and occult blood test were used to detect the cleaning effect on the surface and lumen of the instrument. Results at 4 h, the qualified rate of surface cleaning effect was only 60.5% in group E and 98.5% in other groups. The qualified rate of group E and group A was 79.0% and 78.5%, that of residual blood test was 85.0% and 82.0%, and that of the other groups was 92.5%. At 24 h, the E assembly rate was only 40.5%, and the lowest was 94.5% in the other groups. In group D, the qualified rate of visual test was 97.5%, the qualified rate of residual blood test was 98.0%, the rate of B combination was 87.5% and 89.5%, and the rate of C combination was 84.0% and 85.5%. Compared with other groups, the qualified rate of group D was 97.5%, the qualified rate of residual blood test was 98.0%, the rate of B combination was 89.5%, and the rate of C was 84.0%. The difference was statistically significant (P 0.05). Conclusion the pre-moisturizing gel has excellent moisturizing effect. Enzyme cleaning agent and alkaline detergent can be used for short-term moisturizing, but pure water is not effective for moisturizing pretreatment.
【作者单位】：桂林医学院附属医院消毒供应中心;
【基金】：广西壮族自治区卫生厅科研基金项目(z2012435)
【分类号】：R187

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