CAJ | 학술논문

目的：比较单层与双层纸塑袋包装器械对灭菌包压力蒸汽灭菌的灭菌效果、湿包发生、灭菌时密封线开裂的影响，以探索最佳包装方式。方法选择2013年11月1－30日单件需纸塑包装的器械共720件，随机分成对照组和试验组，对照组采用单层纸塑袋包装器械共362件，试验组在对照组包装基础上再外包装一层纸塑袋，纸面对纸面，塑面对塑面进行封口共358件，灭菌结束后检查器械包灭菌合格率、湿包发生率和密封线开裂率，采用SPSS 13．0软件进行统计分析。结果对照组与试验组包装器械灭菌合格率均为100．00％，湿包发生率分别为0．55％和0．84％，密封线开裂率均为0．28％，差异均无统计学意义，对照组与试验组包装器械对灭菌包压力蒸汽灭菌的灭菌效果、湿包发生、密封线开裂3项对比结果，差异均无统计学意义。结论双层纸塑袋包装器械灭菌效果可靠，灭菌时不会产生湿包和密封线开裂现象，可以作为单件器械的包装方式，在运输、贮存过程中减少包装破损，有效降低医院感染风险。
목적：비교단층여쌍층지소대포장기계대멸균포압력증기멸균적멸균효과、습포발생、멸균시밀봉선개렬적영향，이탐색최가포장방식。방법선택2013년11월1－30일단건수지소포장적기계공720건，수궤분성대조조화시험조，대조조채용단층지소대포장기계공362건，시험조재대조조포장기출상재외포장일층지소대，지면대지면，소면대소면진행봉구공358건，멸균결속후검사기계포멸균합격솔、습포발생솔화밀봉선개렬솔，채용SPSS 13．0연건진행통계분석。결과대조조여시험조포장기계멸균합격솔균위100．00％，습포발생솔분별위0．55％화0．84％，밀봉선개렬솔균위0．28％，차이균무통계학의의，대조조여시험조포장기계대멸균포압력증기멸균적멸균효과、습포발생、밀봉선개렬3항대비결과，차이균무통계학의의。결론쌍층지소대포장기계멸균효과가고，멸균시불회산생습포화밀봉선개렬현상，가이작위단건기계적포장방식，재운수、저존과정중감소포장파손，유효강저의원감염풍험。
OBJECTIVE To compare the effects of single and double paper‐plastic bag packaging on sterilization ef‐fectiveness ,incidence of wet bag and seal line cracking of instruments ,so as to explore the best way of packaging . METHODS A total of 720 pieces of instruments in need of paper‐plastic packaging from Nov .1 to Nov .30 ,2013 were randomly divided into the control group (362 pieces) and the experimental group (358 pieces) .The control group adopted single paper‐plastic bag packaging ,while the experimental group adopted double paper‐plastic bag packaging in way of paper in face of paper and plastic surface in face of plastic surface to seal .The sterilization rate ,the incidence of wet pack and the seal line cracking rate of instruments after sterilization were examined .The software SPSS13 .0 was used for statistical analysis .RESULTS The pass rate of sterilization was 100% and the sealing line cracking rate was 0 .28% in both groups ,the incidence of wet package rates were 0 .55 and 0 .84 re‐spectively for the control group and the experimental group .There were no significant differences .There were no obvious differences in the effect of packaged instruments on pressuresteam sterilization effectiveness ,the incidence of wet bag and sealing line cracking between the two groups .CONCLUSION Sterilization on instruments with double paper‐plastic packaging is reliable ,and the phenomenon of wet pack and seal line cracking is absent when sterilization .Thus ,double paper‐plastic packaging can be used as the packaging method for a single instrument , which can reduce packaging damage in the process of transportation and storage and effectively reduce the risk of hospital infections .