十二指肠镜预防性维护对策在降低故障维修中的应用

Application of duodenoscopy in reducing fault maintenance

目的分析十二指肠镜预防性维护措施对降低故障维修的影响。方法选取解放军总医院第一医学中心消化内科医学部消化内镜中心8条十二指肠镜,将2020年11月至2021年10月使用810例次设为对照组,2021年11月至2022年10月使用840例次设为观察组。对照组采用常规措施,观察组成立管理小组并培训,制定并实施十二指肠镜使用和再处理各个环节预防性维护措施,观察两组十二指肠镜故障损坏、再处理知识掌握情况。结果对照组损坏原因主要与十二指肠镜使用和再处理环节实施方法不当有关;观察组通过实施培训和预防性维护措施,维修率明显下降。两组各项指标比较有统计学意义(P<0.05)。结论实施预防性维护措施能够降低十二指肠镜维修率及维修成本,有利于更好的管理内镜。

Objective Analyze the preventive maintenance measures on the reduction of fault repair.Methods Eight duodenoscopes from the Digestive endoscopy Center of Gastroenterology Department of PLA General Hospital,810 cases from November 2020 to October 2021 were selected as the control group,and 840 cases from November 2021 to October 2022 were set as the observation group.The control group adopted the routine treatment process,observed and formed a management team and trained it,formulated and implemented preventive maintenance measures for each link of duodenoscope retreatment,observed the fault damage of the two groups and mastered the knowledge of retreatment.Result The damage in the control group was mainly related to the improper implementation methods of duodenoscopy and reprocessing;the maintenance rate decreased training and preventive maintenance measures.It was significant between the two groups(P<0.05).Conclusion The implementation of preventive maintenance measures can reduce the maintenance rate and maintenance cost of duodenoscopy,which is conducive to the better management of endoscopy.