CAJ | 학술논문

目的：分析改良器械清洗程序和传统器械清洗程序的应用价值差异，探讨改良后的器械清洗程序在眼科手术器械清洗中的应用。方法：选择眼科手术室使用的手术器械作为研究样本，根据清洗方式不同将其分为观察组(接受改良器械清洗程序)和对照组(采用传统器械清洗程序)，比较清洗和功能质量抽检结果、隐血试验阳性率、器械更换率及眼部感染发生率等差异。结果：①观察组接受改良器械清洗程序后其清洗质量和功能质量的合格率均显著高于采用传统清洗程序的对照组，差异有统计学意义(x2=8.933，x2=6.920；P＜0.05)；②观察组器械清洗后的隐血试验阳性率明显低于对照组，差异有统计学意义(x2=7.886，P＜0.05)；③观察组器械清洗后的报损率和发生眼部感染的概率明显低于对照组，差异有统计学意义(x2=10.044，x2=3.942；P＜0.05)。结论：改良器械清洗程序可以有效提高眼科手术器械的清洗效果，减少器械带血及带菌，降低器械报损及更换率。
목적：분석개량기계청세정서화전통기계청세정서적응용개치차이，탐토개량후적기계청세정서재안과수술기계청세중적응용。방법：선택안과수술실사용적수술기계작위연구양본，근거청세방식불동장기분위관찰조(접수개량기계청세정서)화대조조(채용전통기계청세정서)，비교청세화공능질량추검결과、은혈시험양성솔、기계경환솔급안부감염발생솔등차이。결과：①관찰조접수개량기계청세정서후기청세질량화공능질량적합격솔균현저고우채용전통청세정서적대조조，차이유통계학의의(x2=8.933，x2=6.920；P＜0.05)；②관찰조기계청세후적은혈시험양성솔명현저우대조조，차이유통계학의의(x2=7.886，P＜0.05)；③관찰조기계청세후적보손솔화발생안부감염적개솔명현저우대조조，차이유통계학의의(x2=10.044，x2=3.942；P＜0.05)。결론：개량기계청세정서가이유효제고안과수술기계적청세효과，감소기계대혈급대균，강저기계보손급경환솔。
Objective: To analyze the effect of improved application equipment cleaning procedures and traditional procedures on ophthalmic surgery. Methods: Chosen ophthalmic surgical instruments as study subject, randomly divided into observation group accepting modified equipment cleaning procedures and control group accepting traditional instrument cleaning procedures, compare the cleaning and functional quality results, occult blood test and equipment replacement rates and eye infections rate, and so on. Results:1)After receiving cleaning procedures, observation group’s cleaning and functional quality of the pass rates were significantly higher than control group(x2=8.933, x2=6.920;P<0.05);2)occult blood test positive rate in the observation group after cleaning equipment was significantly lower than control group(x2=7.886, P<0.05). 3)Eye infection rate in the observation group after cleaning equipment was significantly lower than the control group(x2=10.044, x2=3.942;P<0.05). Conclusion:The modified equipment cleaning procedures can effectively improve the cleaning effect ophthalmic surgical instruments, reducing equipment contaminated with blood and improved equipment to reduce the reported loss and replacement rates.