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管道镜在消化内镜管腔清洗质量监测中的应用

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目的 对比管道镜与常规法在消化内镜管腔清洗效果评价中的应用,探讨管道镜在消化内镜日常清洗质量监测中应用的可行性.方法 选择2023年7-9月河南省人民消化内镜中心 100条使用后的胃镜,使用随机数字表法分为管道镜组和常规组,每组50条,两组内镜外表面清洗质量均采用目测法检查,两组内镜管腔清洗质量检查分别采用管道镜和常规气枪吹气法检查.结果 管道镜组检测出内镜清洗不合格数量(16条)高于常规组(3条),差异有统计学意义(P<0.05).常规组3条清洗不合格内镜的原因均为残留污物,管道镜组内镜清洗不合格的原因中9条(56.25%)为吸引管道中残留白色微小颗粒污染物,4条(25.00%)为残留污物,3条(18.75%)为注气/注水活塞口底部边缘存在锈迹.结论 管道镜相比常规检查法,内镜护士可以对管腔进行直视观察,准确判断内镜管腔内部的清洗质量,弥补常规检查法的不足,提高了内镜清洗不合格检出率,可以作为消化内镜日常清洗质量效果监测的方法.
Application of Borescope in the Quality Monitoring of Lumen of Digestive Endoscopy Cleaning
Objective To compare the application of borescope and conventional methods in evaluating the cleaning effect of digestive endoscope lumens,and explore the feasibility of using borescope in daily quality monitoring of digestive endoscope cleaning.Methods From July to September 2023,100 post use gastroscopes from the Henan Provincial People's Hospital's Digestive Endoscopy Center were selected.Using a random number table method,the endoscope was divided into a borescope group and a conventional group,with 50 borescopes in each group.The cleaning quality of the outer surface of the endoscope in both groups was checked by visual inspection,and the cleaning quality of the endoscope lumen in both groups was checked by borescope and conventional air gun blowing method.Results The number of unqualified endoscope cleaning detected by the borescope group(16 items)was higher than that of the conventional group(3 items),and the difference was statistically significant(P<0.05).The reason for the unqualified cleaning of the three endoscopes in the conventional group is residual dirt.Among the reasons for the unqualified cleaning of the endoscopes in the borescope group,9(56.25%)are residual white small particle pollutants in the suction pipeline,4(25.00%)are residual dirt,and 3(18.75%)are rust stains on the bottom edge of the gas/water injection piston port.Conclusion Compared with conventional inspection methods,endoscopic nurses can directly observe the lumen of the endoscope,accurately judge the cleaning quality inside the endoscope lumen,make up for the shortcomings of conventional inspection methods,and improve the detection rate of unqualified endoscope cleaning.It can be used as a method for monitoring the quality and effectiveness of daily cleaning of digestive endoscopes.

borescopedigestive endoscopycleaningquality monitoring

余晓帆、马志杰、宋静华、牟晓玲、陈宁

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河南省人民医院消化内镜中心,河南省护理医学重点实验室,郑州大学人民医院,河南大学人民医院,河南郑州 450003

管道镜 消化内镜 清洗 质量监测

河南省医疗器械灭菌质控医学重点实验室项目河南省医学科技攻关计划联合共建项目

MJZK20220006LHGJ20220077

2024

河南医学研究
河南省医学科学院

河南医学研究

影响因子:0.979
ISSN:1004-437X
年,卷(期):2024.33(19)