腹腔镜器械两种不同灭菌方法对胆囊切除患者术后影响.docVIP

腹腔镜器械两种不同灭菌方法对胆囊切除患者术后影响 　　[摘要] 目的 回顾性分析腹腔镜器械两种不同灭菌方法对腹腔镜胆囊切除患者术后的影响，以便正确选择安全、有效、有利于减轻患者痛苦的灭菌方法。 方法 随机抽取2009年10月～2011年9月，用强化戊二醛消毒剂浸泡灭菌的腹腔镜器械行胆囊切除术患者120例，为对照组；2011年11月～2013年10月，用过氧化氢低温等离子体灭菌器灭菌的腹腔镜器械行胆囊切除术患者120例，为观察组。比较两组采样培养合格率和患者术后腹腔引流液量、拔管时间、腹痛时间、止痛药使用例数、住院时间。 结果 两组灭菌质量合格率均为100%。观察组的腹腔引流液量明显减少、止痛药使用例数少。两组比较有统计学意义（P0.05）。 结论 腹腔镜器械用过氧化氢低温等离子灭菌对患者安全、有效，有利于减轻患者痛苦，促进恢复，值得提倡应用。 　　[关键词] 腹腔镜器械；不同灭菌方法；胆囊切除术；术后影响 　　[中图分类号] R472.1 [文献标识码] B [文章编号] 1673-9701（2015）20-0061-03 　　Effect of two different sterilization methods of laparoscopic instruments on patients with laparoscopic cholecystectomy postoperative 　　YE Fang1 HUANG Meiqin2 YUAN Yinfang2 WANG Linfeng3 WEI Feng4 　　1.Disinfection Supply Center of Nanxun Peoples Hospital of Huzhou City in Zhejiang Province， Huzhou 313009， China； 2.Infection Department of Nanxun Peoples Hospital of Huzhou City in Zhejiang Province， Huzhou 313009， China； 3.Nursing Departmen of Nanxun Peoples Hospital of Huzhou City in Zhejiang Province， Huzhou 313009， China； 4.Department of General Surgery， Huzhou Central Hospital in Zhejiang Province， Huzhou 313000， China 　　[Abstract] Objective To analyze the two different sterilization methods’ influence on patients with laparoscopic cholecystectomy postoperative in order to choose a safe， effective and beneficial sterilization method to relieve patients pain. Methods Randomly extracted 120 cases of patients with laparoscopic cholecystectomy using the strengthening glutaraldehyde disinfectant soaking sterilization from October 2009 to September 2011 as the control group； meanwhile， randomly extract 120 cases sterilized by low temperature hydrogen peroxide gas plasma sterilizer from November 2011 to October 2013 as the observation group. Qualified rate of sampling， postoperative abdominal drainage fluid volume， extubation time， abdominal pain， cases of using pain medication， length of hospital stay were compared between two groups. Results Sterilization quality of two groups were both 100%. Abdomi