首页|不同预处理方法对夜间腹腔镜器械清洗和灭菌效果的影响

不同预处理方法对夜间腹腔镜器械清洗和灭菌效果的影响

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目的 比较不同预处理办法对夜间腹腔镜器械清洗以及实际的灭菌效果的影响.方法 选取2022年1-12月本院所收治的夜间行急诊腹腔镜手术的患者所使用到的1750件腹腔镜器械作为研究对象,通过随机分类的方式将其分为三组,分别是一组、二组和三组.一组主要使用的是自来水冲洗的方式,二组主要使用的是喷洒1:200的多酶清洗稀释液的方式,三组的方式是使用自配的肝素保湿液来.三组之间的实际清洗效果和最终的灭菌效果进行比较,使用测法以及杰力测血物蛋白试纸检测清洗效果.结果 可以看出一组、二组、三组的清洗效果目测法分别为93%、98%、99%,杰力测血物蛋白试纸法的合格率分别为93%、98%、99%;且二组和三组均高于一组(P<0.05),三组高于二组(P>0.05);一组、二组、三组的灭菌合格率分别是94%、99%、99%,二组和三组均高于一组(P<0.05),三组高于二组(P>0.05).结论 能够明显夜间腹腔镜的器械清洗使用多酶清洗稀释液以及自配肝素保湿液进行预处理,最终的清洗和灭菌效果比较好.相对来说喷洒自配肝素保湿液的预处理效果更好.
Effect of Different Preprocessing Methods on Nighttime Cleaning and Sterilization of Laparoscopic Instruments
Objective To explore different pretreatment methods and compare effect of nighttime laparoscopic instrument cleaning and actual sterilization actively.Methods The paper chose 1750 laparoscopic instruments for patients with emergency laparoscopic surgery at night in the hospital from January to December 2022 as research subjects,and divided them into three groups randomly:group 1,group 2,and group 3.Group 1 was treated with tap water for flushing,while the other groups with spraying 1:200 multi enzyme cleaning diluent.Group 3 was treated with self prepared heparin moisturizing solution.Actual cleaning effect and final sterilization effect was compared among three groups,with visual inspection of cleaning effect and Jelly blood protein test paper method.Results Visual inspection of cleaning effect of group 1 was 93%,with qualified rate of Jelly blood protein test paper method of 93%.Visual inspection of cleaning effect of group 2 was 98%,with qualified rate of the Jelly blood protein test paper method of 98%.Visual inspection of cleaning effect of group 3 was 99%,with qualified rate of the Jelly blood protein test paper method of 99%.It could be clearly seen,there was significant statistical significance between group 2,3 and group 1,that of group 3 was higher than group 2,with little difference and no statistical significance.Sterilization qualification rate of group 1 was 94%,that of group 2 was 99%,and sterilization qualification rate of group 3 was 99%.It could be seen clearly,that of group 2 and 3 was higher than group 1,there was significant statistical significance between difference.That of group 3 was higher than group 2,with little difference and no statistical significance.Conclusion It can be clearly seen,nighttime instrument cleaning of laparoscopy mainly uses multi enzyme cleaning diluent and self prepared heparin moisturizing solution for pretreatment,with relatively good final cleaning and sterilization effect.Relatively speaking,spraying self formulated heparin moisturizer can achieve better pre-treatment effect.

PreprocessingLaparoscopyEquipment cleaning

韦沅沅

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江苏省人民医院句容分院 消毒供应中心,江苏 镇江 212400

预处理 腹腔镜 器械清洗

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(12)