CAJ | 학술논문

目的：针对手术穿刺针存在清洗不彻底及清洗效果监测难度大的问题,通过相关对比试验寻求较可靠的解决措施。方法随机抽取临床使用后的腰穿刺针、骨穿刺针和硬膜外穿刺针各80颗,平均分成试验组和对照组,对照组采用传统的管腔器械手工清洗程序实施清洗处理,而试验组采用研究创建的细小管腔器械手工清洗程序实施清洗处理,2组穿刺针清洗后分别采用放大镜下辅助目测、自制器材监测和ATP生物荧光监测,以验证其清洗效果。结果试验组的120颗穿刺针清洗后,经放大镜下目测、自制器材监测和ATP荧光监测,结果清洗质量合格率分别为98.33%、97.00%和93.33%,而对照组的120颗穿刺针经传统的清洗后,清洗质量合格率分别为95.00%、83.33%和78.33%；2组穿刺针清洗后分别采用自制器材监测和ATP荧光监测的结果表明,2种检测方法无明显差异。结论本次研究创建的细小管腔器械清洗方法和自制器材监测管腔器械清洗效果的方法,在穿刺针的清洗及清洗效果监测方面,具有效果可靠和可操作性强的特点,值得进一步研究和推广应用。
목적：침대수술천자침존재청세불철저급청세효과감측난도대적문제,통과상관대비시험심구교가고적해결조시。방법수궤추취림상사용후적요천자침、골천자침화경막외천자침각80과,평균분성시험조화대조조,대조조채용전통적관강기계수공청세정서실시청세처리,이시험조채용연구창건적세소관강기계수공청세정서실시청세처리,2조천자침청세후분별채용방대경하보조목측、자제기재감측화ATP생물형광감측,이험증기청세효과。결과시험조적120과천자침청세후,경방대경하목측、자제기재감측화ATP형광감측,결과청세질량합격솔분별위98.33%、97.00%화93.33%,이대조조적120과천자침경전통적청세후,청세질량합격솔분별위95.00%、83.33%화78.33%；2조천자침청세후분별채용자제기재감측화ATP형광감측적결과표명,2충검측방법무명현차이。결론본차연구창건적세소관강기계청세방법화자제기재감측관강기계청세효과적방법,재천자침적청세급청세효과감측방면,구유효과가고화가조작성강적특점,치득진일보연구화추엄응용。
Objective As there are difficult problems in surgical puncture needle cleaning and cleaning effect monitoring,we are aiming at finding some reliable solutions through relevant comparative tests. Methods Lumbar puncture needle,bone puncture needle and anesthe-sia spinal needle after clinical use,80 of each kind,were randomly collected and equally divided into the experimental group and the control group. The control group was given traditional lumen surgical instruments cleaning procedure,and the experimental group was given newly cre-ated small lumen instruments manual cleaning procedures. Magnifying glass,self-made instruments monitoring and ATP bioluminescence mo-nitoring were respectively used to verify the cleaning effect. Results All needles were monitored with magnifying glass,self-made instruments monitoring and ATP bioluminescence monitoring after cleaning,and the qualified rate were 98. 33%,97. 00% and 93. 33% respectively in the experimental group while 95. 00%,83. 33% and 78. 33% respectively in the control group. Results of self-made instruments monitoring and ATP bioluminescence monitoring showed that there was no difference between the two kinds of detection methods. Conclusion Newly created small lumen instruments manual cleaning procedures and self-made instruments monitoring were of reliable effect and strong operabili-ty in terms of puncture needle cleaning and cleaning effect monitoring,and they were worthy of further research and application.