中医拔罐器具清洁与消毒技术研究进展.docVIP

中医拔罐器具清洁与消毒技术研究进展 温晓雪 刘建芳 朱萍 徐土珍 沈敏 倪晓平 徐虹 浙江中医药大学护理学院 浙江中医药大学附属第二医院医院感染管理科 杭州市疾病预防控制中心消媒所 X 关注成功！ 加关注后您将方便地在 我的关注中得到本文献的被引频次变化的通知！ 新浪微博 腾讯微博 人人网 开心网 豆瓣网 网易微博 摘????要： 拔罐作为中医传统治疗方法, 随着技术的不断发展、适应症的扩展、疗效的肯定和群众接受度的增加, 该项技术越来越被临床广泛应用。但是传统治疗往往注重疗效, 忽视感染风险, 特别是近年来针罐疗法的逐渐推广, 操作不当引起皮肤破损等造成拔罐器的血液体液污染问题日益严重, 如果忽略拔罐器的清洁消毒工作, 重复使用未经规范清洗消毒后的罐具, 可使其他治疗者暴露于血源性病原体感染的风险之中。国外已有诸多报道, 认为拔罐会造成皮肤感染, 是引起乙肝、丙肝、艾滋病等血源传播性疾病的危险因素之一;目前国内外尚未对拔罐器进行明确的危险程度分级, 消毒方法也众说不一。笔者认为应对拔罐器的感染危险程度进行科学分级, 选择有效、安全、适合于临床推广使用的消毒方法, 提高临床对罐具清洗消毒的正确性和依从性;同时需建立健全中医拔罐操作医院感染管理制度, 强化医护人员的感染防范意识, 切实做好可复用拔罐器的清洁消毒, 定期检测清洗消毒质量, 认真执行一人一用一清洗一消毒, 防止医源性感染的发生。 关键词： 拔罐; 医院感染; 危险程度分级; 清洁; 消毒; 作者简介：刘建芳, E-mail:ljf366@126.com 收稿日期：2017-08-23 基金：浙江省中医药科学研究基金项目 (2017ZA058) Research progress on the cleaning and disinfection technology of cupping device of Chinese medicine WEN Xiao-xue LIU Jian-fang ZHU Ping XU Tu-zhen SHEN Min NI Xiao-ping XU Hong Zhejiang Chinese Medicine University; Abstract： Cupping is a traditional treatment method of Chinese medicine.With the continuous development of technology, the expansion of application, the affirmation of curative effect and the increase of the acceptance of people, cupping has been more and more widely used in clinical practice.However, the traditional treatment often focuses on the curative effect and ignores the risks of infections.Especially in recent years, with the popularization of acupuncture and cupping, the problem of cupping device pollution by blood and body fluid is becoming more and more serious.If the cleaning and disinfection technology of cupping device is neglected and cups without standardized cleaning and disinfection are reused, other therapies may be exposed to the risk of infections by hematogenous pathogens.Some researchers abroad have reported that cupping was a risk factor for skin infections and bloodtransmitted diseases, such as hepatitis B, hepatitis C and AIDS.Up to now, there has no definite classification of risk levels for cupping devices at