保湿预处理方式对隔夜手术器械清洗效果观察

发布时间：2018-02-01 11:18

本文关键词： 消毒供应中心隔夜手术器械保湿预处理清洗效果　出处：《中国消毒学杂志》2017年06期 　论文类型：期刊论文

【摘要】：目的探讨改进后的保湿预处理方式对隔夜手术器械清洗效果的影响,为选择更好的保湿预处理方法提供依据。方法将夜间使用后的手术器械按照预处理方法不同分为A、B、C、D 4组,每组各150件,A组用生理盐水浸泡保湿,B组用流动水冲洗,C组用流动水冲洗后喷洒多酶清洗液,D组用流动水冲洗后喷洒碱性清洗液,放置12 h后放入全自动清洗机内清洗、消毒,通过目测、ATP生物荧光法、锈蚀结果判定检测清洗消毒效果。结果在目测结果中,C、D 2组检测全部合格,B组和A组清洗合格率分别为92%和88%;通过ATP生物荧光法检测,4组合格率依次为79%、88%、94%和96%;在锈蚀结果判定中,4组合格率依次为61%、87%、93%和99%。结论对需隔夜处理的手术器械采用流水冲洗+喷洒碱性清洗液保湿预处理,再进清洗机清洗的方法,清洗消毒效果最佳。
[Abstract]:Objective to investigate the effect of the improved moisturizing pretreatment on the cleaning effect of overnight surgical instruments. Methods the surgical instruments used at night were divided into four groups according to the pretreatment method, 150 pieces in each group. Group A was soaked with normal saline and moisturizing. Group B was rinsed with flowing water. Group C was washed with flowing water and then sprayed with multi-enzyme cleaning liquid. Group D was washed with flowing water and then alkaline cleaning solution was sprayed. After 12 hours of storage, it was cleaned and disinfected in a fully automatic cleaning machine. The results of corrosion and corrosion were used to determine the efficacy of cleaning and disinfection by visual ATP bioluminescence method. Results in the visual test results, the effect of cleaning and disinfection was determined. The qualified rate of washing in group D _ 2 was 92% and 88 respectively. The qualified rates of 4 groups were 79% and 96% respectively by ATP biofluorescence assay. The qualified rates of the 4 groups were 91% and 99%, respectively. Conclusion income washing and spraying alkaline cleaning solution is used to pretreat the surgical instruments that need overnight treatment. [WT5 "HZ] [WT5" HZ] [WT5 "BZ] [WT5" BZ] [WT5 "HZ]. The cleaning method of reentry cleaning machine, cleaning and disinfection effect is the best.
【作者单位】：武汉大学中南医院;
【分类号】：R187
【正文快照】： 随着医学科学的发展,医院诊疗技术不断进步,医院规模随之扩大,手术患者数量增多,夜间手术量不断增加。使用后的复用手术器械,在临床实际工作中,因为各种原因不能及时清洗,如果预处理不到位,会使术后残留的有机物干涸在手术器械上,造成清洗困难,严重者可能造成灭菌失败[1];如果

【参考文献】