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压力蒸汽灭菌敷料包不同冷却方式的效果比较

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目的 探讨消毒供应中心压力蒸汽灭菌敷料包不同冷却方式对湿包发生率、外表面冷却温度及棉布作为包装材料可重复灭菌次数的影响,为实际工作中建立标准化的操作流程提供参考依据.方法 将实验包装材料为医用普通棉布、重量3~5 kg、体积≤30 cm×30 cm× 50 cm的600个实验敷料包随机分成4组:A组(灭菌结束后立即出舱冷却)、B组(灭菌结束后不打开舱门,在舱内烘15 min再出舱冷却)、C组(灭菌结束后开舱门2~5 cm,在舱内烘15 min再出舱冷却)、D组(灭菌结束后舱门全开,在舱内烘15 min再出舱冷却),每组150个.采用目测法、称重法判断湿包情况,比较4组敷料包湿包的发生率,并将这4组敷料包进行回收处理后重复灭菌,记录棉布作为包装材料可重复灭菌使用的次数;同样的分组方法另取600个同样规格敷料包,测量灭菌结束30 min后敷料包外表面温度,比较4种冷却方式对其温度的影响.结果 目测法显示4组均无肉眼可见的湿包.称重法显示B组湿包率明显高于A、C、D组(P均<0.05);A组湿包率与C、D两组比较差异无统计学意义(P>0.05).A组敷料包外表面温度低于B、C、D组(P均<0.05).A组敷料包包装棉布可重复灭菌次数高于B、C、D组(P均<0.05).结论 压力蒸汽灭菌敷料包灭菌结束后立即出舱的冷却方式科学、高效.在舱内烘一段时间再出舱的冷却方式,不仅会延长冷却时间,降低工作效率,损伤包装材料,还有掩盖湿包现象的可能.故建立科学的工作质量标准和操作规程,对提高工作效率、保证灭菌质量至关重要.
Comparison of the Effects of Different Cooling Methods for Pressure Steam Sterilization Dressing Packs
Objective To explore the influence of cooling method on the incidence of wet packs and cooling temper-ature of the outer surface after pressure steam sterilization of dressing packs in disinfection and supply centers,and pro-vide a reference basis for the establishment of a standardized operation process in practical work.Methods A total of 600 experimental dressing packets with weight of 3-5 kg and volume ≤30 cm× 30 cm× 50 cm were randomly divided into 4 groups:group A(cooling out of the cabin immediately after sterilization),group B(not opening the hatch after steriliza-tion,drying in the cabin for 15 min before leaving the cabin for cooling),group C(opening the hatch 2-5 cm after sterili-zation,drying in the cabin for 15 min before leaving the cabin for cooling),group D(after sterilization,the hatch was fully opened,and the cabin was dried for 15 min before leaving the cabin for cooling),with 150 experimental dressing packs per group.The visual inspection method and weighing method were used to judge the wet pack,and the incidence of wet packs of dressing packs in four cooling methods was compared,and the four groups of experimental dressing packs were repeatedly recycled and sterilized,and the number of times that cotton cloth can be used as packaging materials for repeated sterilization was recorded.In the same grouping method,600 dressing packs of the same specification were taken to measure the temperature of the outer surface of the dressing packs 30 min after the sterilization was completed,and the effects of the 4 cooling methods on their temperatures were compared.Results The visual inspection method showed that there was no visible wet pack.The weighing method showed that the incidence of wet packs in group B was significantly higher than that in group A,C and D(all P<0.05),and there was no difference between group A and group C and D(P>0.05).The temperature of the outer surface of dressing bags in group A was significantly lower than that in groups B,C and D(all P<0.05).The repeated sterilization times of dressing pack cotton in group A was higher than that in groups B,C and D(all P<0.05).Conclusion Immediately after the sterilization cooling out of the cabin is scientific,time-sav-ing,effective,and commonly used in the work of the cabin baked for a period of time and then out of the cabin cooling way will not only extend the cooling time to reduce efficiency,damage to the packaging materials,and the possibility of concealing the phenomenon of wet packs,so the establishment of scientific quality standards and oper-ating procedures to improve efficiency,ensure the quality of sterilization,to prevent the emergence of wet packets is essential.

Dressing packsPressure steam sterilizationCooling method

吕思航、王艳、王大莉、徐氚、陈灵均、夏唯、丁健、陈秀丽

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430064 湖北武汉,武汉科技大学医学院

中部战区总医院消毒供应科

敷料包 压力蒸汽灭菌 冷却方式

2024

华南国防医学杂志
广州军区医学科学技术委员会

华南国防医学杂志

CSTPCD
影响因子:0.748
ISSN:1009-2595
年,卷(期):2024.38(12)