层流手术室动态空气质量对术中器械安全性研究.docVIP

层流手术室动态空气质量对术中器械安全性研究 　　【摘 要】目的：分析手术过程中细菌生长繁殖数量与手术时间的变化规律，采取有效措施减少各种感染因素，提高手术质量与安全。方法：通过空气培养监测手术过程中细菌菌落数，将细菌菌落数量与手术时间进行统计分析，得出两者之间的关系。结果：细菌数量与手术时间呈非线性关系，菌落数先增长后下降。结论：了解手术时间与细菌繁殖数量之间的规律对控制手术感染有较好的参考意义。 　　【关键词】空气消毒；手术时间；手术感染 　　【中图分类号】R612 【文献标识码】A 【文章编号】1004-7484（2013）03-0010-02 　　Laminar flow operation room air quality on intraoperative equipment safety study 　　Sichuan Provincial Academy of Medical Sciences?Sichuan Provincial Peoples Hospital operation room/Bai Xiaoxia . 　　【Abstract】objective：Analyze the effect of laminar flow operation room air quality change on intraoperative equipment of bacterial colony growth ，take effective measures to ensure the air quality of laminar flow operation room ， prevent intraoperative equipment pollution， improve the quality and safety of operation. Methods：Choose the area of 30M2， air cleanliness class of 100 laminar flow operation room to take 40 operations， operation time are more than 6 hours， the 40 operations were randomly divided into intervention group and control group. By monitoring the surface colony number of two groups of instruments， compare the bacterial colony number and intraoperative air colony number. Results：There is no bacterial growth in the intervention group or bacterial number was minimal， and no correlation with operation time. The gloves and intraoperative equipment of control group in 2 hours have bacterial growth， equipment covered have no bacterial growth. Conclusion：In the laminar flow purification air conditioning equipment running under good conditions， if we strictly control the operation flow and reduce the times of opening number in operation process ，we can ensure the air quality，and prevent equipment pollution. 　　【Key words】intraoperative equipment；laminar flow operation room；operation infection； 　　手术室空气的环境洁净程度直接影响到患者的伤口愈合，也是引起医院感染和交叉感染的重要因素[1]。外科手术的危险之一就是术后感染，轻者使患者医疗费用增加，重者造成死亡[2]。手术室空气的尘菌主要来源于空气室外，占空气总量的90%[3]。有效的空气消毒是预防疾病和防止医院感染的重要措施，也是医院质量管理的重要内容之一[4]。我院手术室均为层流手术室，手术复杂，种类繁多且手术间负荷大，部