中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2014年
35期
4519-4521
,共3页
显微手术器械%清洗%预处理%效果评价
顯微手術器械%清洗%預處理%效果評價
현미수술기계%청세%예처리%효과평개
Microsurgical instruments%Cleaning%Primary treatment%Effect evaluation
目的：探讨显微手术器械最佳的清洗方法，以提高清洗效果。方法于2013年2—10月将眼科和手外科显微手术使用后的1350件器械随机分为对照组、浸泡组和振洗组，每组各450件。3组器械分别做清洗处理，对照组器械不做预处理，浸泡组器械在多酶清洗液中浸泡10 min，振洗组器械在含多酶清洗液的数控超声波清洗机中浸泡超声波振洗10 min，然后将3组器械均置于全自动清洗消毒机使用轻型循环清洗。采用目测法和放大镜检测法检查清洗效果。结果目测法检查对照组、浸泡组、振洗组清洗质量合格件数分别为341，402，439件，合格率分别为75．78％，89．33％，97．56％；放大镜检查合格件数分别为319，381，428件，合格率分别为70．89％，84．67％，95．11％，振洗组合格率明显高于对照组和浸泡组，差异均有统计学意义（χ2值分别为99．8946，96．6823；P＜0．01）。结论在多酶清洗液中超声振洗后再使用全自动清洗消毒机清洗可提高清洗效果，是显微手术器械理想的清洗方法。
目的：探討顯微手術器械最佳的清洗方法，以提高清洗效果。方法于2013年2—10月將眼科和手外科顯微手術使用後的1350件器械隨機分為對照組、浸泡組和振洗組，每組各450件。3組器械分彆做清洗處理，對照組器械不做預處理，浸泡組器械在多酶清洗液中浸泡10 min，振洗組器械在含多酶清洗液的數控超聲波清洗機中浸泡超聲波振洗10 min，然後將3組器械均置于全自動清洗消毒機使用輕型循環清洗。採用目測法和放大鏡檢測法檢查清洗效果。結果目測法檢查對照組、浸泡組、振洗組清洗質量閤格件數分彆為341，402，439件，閤格率分彆為75．78％，89．33％，97．56％；放大鏡檢查閤格件數分彆為319，381，428件，閤格率分彆為70．89％，84．67％，95．11％，振洗組閤格率明顯高于對照組和浸泡組，差異均有統計學意義（χ2值分彆為99．8946，96．6823；P＜0．01）。結論在多酶清洗液中超聲振洗後再使用全自動清洗消毒機清洗可提高清洗效果，是顯微手術器械理想的清洗方法。
목적：탐토현미수술기계최가적청세방법，이제고청세효과。방법우2013년2—10월장안과화수외과현미수술사용후적1350건기계수궤분위대조조、침포조화진세조，매조각450건。3조기계분별주청세처리，대조조기계불주예처리，침포조기계재다매청세액중침포10 min，진세조기계재함다매청세액적수공초성파청세궤중침포초성파진세10 min，연후장3조기계균치우전자동청세소독궤사용경형순배청세。채용목측법화방대경검측법검사청세효과。결과목측법검사대조조、침포조、진세조청세질량합격건수분별위341，402，439건，합격솔분별위75．78％，89．33％，97．56％；방대경검사합격건수분별위319，381，428건，합격솔분별위70．89％，84．67％，95．11％，진세조합격솔명현고우대조조화침포조，차이균유통계학의의（χ2치분별위99．8946，96．6823；P＜0．01）。결론재다매청세액중초성진세후재사용전자동청세소독궤청세가제고청세효과，시현미수술기계이상적청세방법。
Objective To discuss the best way of microsurgical instruments cleaning to improve the cleaning effect .Methods Based on random principle , the ophthalmic and hand surgery microsurgery instruments were divided into three groups ( control group ,soak group and oscillation of washing group ,each group 450 cases)after being used.The general group was cleaned directly without primary treatment ,soak group used multienzyme abluent and oscillation of washing group used ultrasonic cleaning respectively .Then all the three groups were cleaned by gentle cycle of automated Multi-chamber Washer .The cleaning effects were checked and compared by single eyeballing and magnification inspected .Results It was found that qualification numbers of the three groups by single eyeballing was 341,402 and 439, with qualification rates 75.78%,89.33% and 97.56%respectively .and qualification numbers by magnification inspected was 319, 381 and 428, and that qualification rates were 70.89%,84.67%and 95.11%, respectively.The qualified rates of oscillation of washing group were higher than that of other two groups , the differences were statistically significant (χ2 =99.894 6, 96.682 3, respectively;P<0.01).Conclusions The ideal method of microsurgical instruments cleaning is use the automated Multi-chamber Washer after soaking in multienzyme abluent and using Ultrasonic cleaning .
