不同清洗方法对医疗器械清洗效果研究.PDFVIP

中国护理管理 特别策划·CSSD管理实践与探索 Special Planning 不同清洗方法对医疗器械清洗效果的研究 ◆ 张静 冯秀兰 [ 摘 要 ] 目的：通过对医疗器械进行血液污染，比较不同清洗方法去除医疗器械上血 液的效果，得出有效的清洗方法，确定正确的清洗操作规程。方法：采用标准污染方法， 把新鲜血液污染后的外科剪按照1h、2h、3h、4h、5h5 个时间段分别放置，每个时间段将 样本分为4 组，每组 200 把，共 4000 个样本。在器械质量、水质、水温、机械清洗程序、 器械装载量等因素确定可比的条件下，对 5组样本分别采用4 种清洗方法，进行潜血阳性率 2 比较。实验数据采用χ 检验进行统计学分析。结果：多酶机洗清洗方法在污染器械放置1～3h 内清洗，与冲洗 +酶泡方法对比，无统计学差异（P0.5），与多酶浸泡清洗方法对比，有 统计学差异（P0.001）。放置4h 的4 组标本对比均有统计学差异（P0.05-0.001）；放置 5h 多酶机洗的阳性率也明显增加，各组对比均无统计学差异（P0.05）。结论：机械清洗法 效果优于人工清洗法，清洗前先冲洗提高清洗效果，污染器械放置 2h以上将增加清洗难度。 [ 关键词 ] 医疗器械；医院感染；清洗流程；效果；清洁剂 Comparison of different methods in cleaning medical instruments / ZHANG Jing, FENG 1.2.1 污染器械的配制：将试验剪刀浸 Xiu-lan // Guangzhou First Peoples Hospital, 510180 China /// Chinese Nursing Management- 入血液污染物，开合关节，所有表面与 2011,11(1):17-19 关节轴部均可见血液污染。污染器械 [Abstract] Objective: To compare different cleaning methods in removing blood contamination. Methods: Totally 4000 surgery scissors were divided into 5 groups, which 置密闭箱存放，保持室温 22℃，湿度 were cleaned 1h, 2h, 3h, 4h, 5h after contaminated by fresh blood. In every group, four 60%。全部器械污染和摆放在15min内 cleaning methods were used. The instruments quality, water quality and temperature, 完成。 machine cleaning procedure and instrument loadage were controlled. The occult blood positive rate were compared. Results: There was no difference (P0.5) between 1.2.2 清洗程序：污染器械使用自动热 multienzyme machine cleaning method and rinse and enzyme soak method, and was 力清洗消毒机机械清洗，将实验器械 significant difference between multienzyme machine cleaning method and enzyme 关节全部打开，用U型架支撑斜放于标 soak method (P0.001) in1-3h. There was significant difference among 4 groups in 4h (P0.