CAJ | 학술논문

目的探索手术室使用后被血液与耳脑胶污染的开颅吸头在术后作预处理与吸头清洗效果是否相关的问题.方法分三组对手术后被血液与耳脑胶污染的开颅吸头用不同办法进行实验,然后三组吸头同时置于器械清洗筐内,用超声波清洗机常规清洗吸头的程序进行超声清洗,再使用刷子手工刷洗吸头管腔,清洗后分别用导丝试通,杰力试纸蘸取两组吸头的水在1分钟内进行观察,按以上方法共进行15次.结果实验1组15例均为阴性、通畅；实验2组轻度血污残留5例,吸头管腔均不完全堵塞.对照组轻度残留7例,中度残留3例,无重度残留,吸头管腔均不完全堵塞.结论开颅吸头使用后在预处理的方法与清洗效果有明显的相关性,用医用丙酮冲洗、酶液浸泡预处理方法的清洗效果最好.
목적 탐색수술실사용후피혈액여이뇌효오염적개로흡두재술후작예처리여흡두청세효과시부상관적문제.방법 분삼조대수술후피혈액여이뇌효오염적개로흡두용불동판법진행실험,연후삼조흡두동시치우기계청세광내,용초성파청세궤상규청세흡두적정서진행초성청세,재사용쇄자수공쇄세흡두관강,청세후분별용도사시통,걸력시지잠취량조흡두적수재1분종내진행관찰,안이상방법공진행15차.결과 실험1조15례균위음성、통창；실험2조경도혈오잔류5례,흡두관강균불완전도새.대조조경도잔류7례,중도잔류3례,무중도잔류,흡두관강균불완전도새.결론 개로흡두사용후재예처리적방법여청세효과유명현적상관성,용의용병동충세、매액침포예처리방법적청세효과최호.
Objective To investigate whether cleaning effect is related with preprocessing of the suction head which is polluted by blood and cyanoacrylate after operation.Methods Craniotomy suction contaminated by blood and ear-brain glue pollution after operation was experimented by dividing into three groups with different ways.They were cleaned with ultrasonic cleaning machine according to the usual routine; then the lumen of suction head was brushed manually,and tested for patency with guide wire; lustration test was observed in 1 minute for 2 groups of suction head.The abovementioned routine was repeated for 15 times.Results 15 cases in the experimental group 1 were all negative and patent; 5 cases in the experimental group 2 showed mild blood residue,and suction lumen was not completely blocked; 7 cases in the control group showed mild blood residue,3 cases with moderate residue,no severe residue case,and suction lumen was not completely blocked.Conclusions The cleaning effect is significantly correlated with preprocessing of the suction head after operation; the cleaning effect of preprocessing method such as washing with medical acetone and immersing with enzyme is the best.