国际护理学杂志
國際護理學雜誌
국제호이학잡지
INTERNATIONAL JOURNAL OF NURSING
2012年
4期
752-755
,共4页
快速压力蒸汽灭菌%化学指示卡%监测
快速壓力蒸汽滅菌%化學指示卡%鑑測
쾌속압력증기멸균%화학지시잡%감측
Rapid pressure steam sterilization%Chemical indicator card%Monitoring
目的 观察化学指示卡对快速压力蒸汽灭菌的监测效果,并查找原因,采取措施,提高其对快速压力蒸汽灭菌监测的准确性及有效性.方法 观察50锅次灭菌过程中,温度、生物、化学监测结果.采取不同措施,观察化学指示卡的监测效果,化学指示卡用纸盒装灭菌者设为试验组1,化学指示卡用注射器空筒盛放灭菌者设为试验组2,化学指示卡常规裸露放置者设为对照组,经过108锅次的灭菌,记录温度监测、生物监测及化学指示卡合格情况.化学指示卡置于注射器空筒内灭菌者设为A组,将第五类化学指示卡裸露放置设为B组,经过55锅次灭菌,观察物理监测、生物监测、A和B两组化学监测合格情况.结果 在灭菌器正常使用条件下,灭菌器内温度、生物指示剂监测全部合格,而化学指卡合格率为78％,x2=12.35,P＜0.01,差异有统计学意义.对照组、试验组1和试验组2化学指示卡合格率分别为:77.8％,94.4％,100％.3组比较x2=34.31,P＜0.01,差别有统计学意义.3组中两两比较差异均有统计学意义.试验组1与组2均优于对照组,试验组2优于试验组1.A和B两组指示卡合格率均为100％,与生物监测一致.结论 化学指示卡裸露放置不能很好地监测快速压力蒸汽灭菌效果.在灭菌锅合格的情况下,无论是用注射器空筒盛放还是用小纸盒放置,均可大大提高化学指示卡的合格率.尤其是用注射器空筒盛放,化学指示卡变色合格率达100％,与生物监测及第五代化学指示卡监测结果一致,可以替代价格昂贵的第五代化学指示卡,值得推广应用.
目的 觀察化學指示卡對快速壓力蒸汽滅菌的鑑測效果,併查找原因,採取措施,提高其對快速壓力蒸汽滅菌鑑測的準確性及有效性.方法 觀察50鍋次滅菌過程中,溫度、生物、化學鑑測結果.採取不同措施,觀察化學指示卡的鑑測效果,化學指示卡用紙盒裝滅菌者設為試驗組1,化學指示卡用註射器空筒盛放滅菌者設為試驗組2,化學指示卡常規裸露放置者設為對照組,經過108鍋次的滅菌,記錄溫度鑑測、生物鑑測及化學指示卡閤格情況.化學指示卡置于註射器空筒內滅菌者設為A組,將第五類化學指示卡裸露放置設為B組,經過55鍋次滅菌,觀察物理鑑測、生物鑑測、A和B兩組化學鑑測閤格情況.結果 在滅菌器正常使用條件下,滅菌器內溫度、生物指示劑鑑測全部閤格,而化學指卡閤格率為78％,x2=12.35,P＜0.01,差異有統計學意義.對照組、試驗組1和試驗組2化學指示卡閤格率分彆為:77.8％,94.4％,100％.3組比較x2=34.31,P＜0.01,差彆有統計學意義.3組中兩兩比較差異均有統計學意義.試驗組1與組2均優于對照組,試驗組2優于試驗組1.A和B兩組指示卡閤格率均為100％,與生物鑑測一緻.結論 化學指示卡裸露放置不能很好地鑑測快速壓力蒸汽滅菌效果.在滅菌鍋閤格的情況下,無論是用註射器空筒盛放還是用小紙盒放置,均可大大提高化學指示卡的閤格率.尤其是用註射器空筒盛放,化學指示卡變色閤格率達100％,與生物鑑測及第五代化學指示卡鑑測結果一緻,可以替代價格昂貴的第五代化學指示卡,值得推廣應用.
목적 관찰화학지시잡대쾌속압력증기멸균적감측효과,병사조원인,채취조시,제고기대쾌속압력증기멸균감측적준학성급유효성.방법 관찰50과차멸균과정중,온도、생물、화학감측결과.채취불동조시,관찰화학지시잡적감측효과,화학지시잡용지합장멸균자설위시험조1,화학지시잡용주사기공통성방멸균자설위시험조2,화학지시잡상규라로방치자설위대조조,경과108과차적멸균,기록온도감측、생물감측급화학지시잡합격정황.화학지시잡치우주사기공통내멸균자설위A조,장제오류화학지시잡라로방치설위B조,경과55과차멸균,관찰물리감측、생물감측、A화B량조화학감측합격정황.결과 재멸균기정상사용조건하,멸균기내온도、생물지시제감측전부합격,이화학지잡합격솔위78％,x2=12.35,P＜0.01,차이유통계학의의.대조조、시험조1화시험조2화학지시잡합격솔분별위:77.8％,94.4％,100％.3조비교x2=34.31,P＜0.01,차별유통계학의의.3조중량량비교차이균유통계학의의.시험조1여조2균우우대조조,시험조2우우시험조1.A화B량조지시잡합격솔균위100％,여생물감측일치.결론 화학지시잡라로방치불능흔호지감측쾌속압력증기멸균효과.재멸균과합격적정황하,무론시용주사기공통성방환시용소지합방치,균가대대제고화학지시잡적합격솔.우기시용주사기공통성방,화학지시잡변색합격솔체100％,여생물감측급제오대화학지시잡감측결과일치,가이체대개격앙귀적제오대화학지시잡,치득추엄응용.
Objective To observe the monitoring effects of chemical indicator on rapid pressure steam sterilization,search the reasons,and take measures to enhance its monitoring accuracy and effectiveness.Methods To observe the temperature,biological,chemical monitoring results during sterilization process 50 times with pot.The chemical indicator with sterilization was kept in paper box as the first experimental group,it was kept in an empty syringe as the second experimental group,it was exposed as control group.108 pot times after sterilization,chemical indicator discoloration failure rate were compared in the case of qualified temperature measurement.Results Under normal conditions of use,in sterilizer temperature and biomarkers monitoring were all qualified,the passing rate of chemical indicator cards was 78％ (x2 =12.35,P ＜0.01 ),the differences were statistically significant.In three groups,there were statistical differences between any two groups.Conclusions Exposed chemical indicator cards can not very well monitor rapid pressure steam sterilization effect.In the case of qualified sterilizer,whether in empty syringe or in paper box,the pass rates of chemical indicator can greatly been improved.Especially chemical indicator cards keep in an empty syringe,its qualified rate is 100％,the results are consistent with those of biological monitoring and fifth generation chemical indicator cards.It can be taken placed of fifth generation chemical indicator cards.It is worth popularizing.
