摘要
目的:探讨人工清洗联合等离子灭菌机对手术室腔镜器械清洗灭菌效果的影响,以提高腔镜器械清洗灭菌质量。方法:收集医院在用的200件腔镜器械,按照灭菌方法的不同将其分为对照组和观察组,每组100件。对照组采用自动清洗机清洗联合高温高压灭菌,观察组采用人工清洗联合等离子灭菌机灭菌,比较两组器械灭菌时间、清洁率、灭菌合格率、是否影响器械寿命、消毒剂使用情况、是否损害机体组织、外科医生对使用器械的满意度和医院感染发生率。结果:观察组灭菌时间短于对照组,有效灭菌时间长于对照组,差异具有统计学意义(t=261.155,t=55.658;P<0.05);观察组清洁率(99.00%)高于对照组(85.00%),灭菌合格率(100.0%)高于对照组(82.00%),其差异有统计学意义(x^2=13.315,x^2=17.391;P<0.05);观察组外科医生对使用器械的满意度高于对照组,其差异有统计学意义(x^2=14.760,P<0.05);观察组医院感染发生率低于对照组,其差异有统计学意义(x^2=4.688,P<0.05)。结论:人工清洗联合等离子灭菌机对手术室腔镜器械清洗灭菌效果好,可提高灭菌合格率,保证灭菌质量。
Objective:To explore the influences that manual cleaning combined with plasma sterilizer on the effect of cleaning and sterilization for laparoscopic apparatuses in operating room so as to improve the quality of cleaning and sterilization of laparoscopic apparatuses.Methods:200 laparoscopic apparatuses of hospital were selected and were divided into control group and observation group by different sterilization methods.The control group adopted the clean that automatic cleaning machine combined with the sterilization of high temperature and high pressure,while observation group adopted the clean that manual cleaning combined with plasma sterilizer for sterilization.The sterilization time,cleaning rate,qualified rate of sterilization,whether the life of apparatus was affected,the use of disinfectant,whether the tissue of organism was damaged,and the satisfaction of surgeon for used apparatuses and the incidence of nosocomial infection between the two groups was compared,respectivley.Results:The sterilization time of observation group was significantly shorter than that of control group,while effective sterilization time of observation group was significantly longer than that of control group(t=261.155,t=55.658,P<0.05).The cleaning rate of observation group(99.00%)was significantly higher than that of control group(85.00%),while qualified rate of sterilization of observation group(100.0%)was lower than that of control group(15.00%),and the differences of them between the two groups were significantly(x^2=13.315,x^2=17.391,P<0.05).The satisfaction of the surgeons on used apparatus of observation group was significantly higher than that of control group(x^2=14.760,P<0.05).And the incidence of nosocomial infection of observation group was significantly lower than that of control group(x^2=4.688,P<0.05).Conclusion:The sterilization effect that manual cleaning combines with plasma sterilizer is favorable on laparoscopic apparatuses of operating room,which can improve qualified rate of sterilization and ensure sterilization quality.
作者
马磊
庞永红
杨波
白方
王静
石兴民
MA Lei;PANG Yong-hong;YANG Bo(Endoscopy Center,First Affiliated Hospital of Xi'an Jiaotong University,Xi'an,710061,China)
出处
《中国医学装备》
2020年第10期86-89,共4页
China Medical Equipment
关键词
手术室
腔镜器械
人工清洗
等离子灭菌机
清洗
灭菌
Operating room
Laparoscopic apparatus
Manual cleaning
Plasma sterilizer
Cleaning
Sterilization
