3种方法清洗消毒胃镜的效果比较

Disinfection Effect of Three Different Cleaning Methods for Endoscopes

目的比较3种方法对胃镜清洗效果的优劣,为推广高效、节约多酶洗液和纱布提供科学依据。方法对3种方法清洗消毒后的胃镜进行检测,并按照多酶洗液应用方法的不同将其随机分为试验1组、试验2组,对照组则完全按照卫生部2004年内镜消毒规范执行。结果共检测胃镜256条,试验1组78条,试验2组84条,对照组94条;3组在消毒后的合格率均为100%,3组比较差异无统计学意义(P>0.05)。结论试验1组、试验2组均在4个槽中清洗可达到胃镜清洗消毒的效果,节省了大量的多酶洗液,减少其排放对环境的污染,同时缩短了清洗的时间,试验2组在节省多酶洗液的同时又节省了纱布,值得在临床上推广。

OBJECTIVE To choose a better disinfection method to cut down the cost of washing and disinfection. METHODS The endoscopes were washed by three methods. According to the kinds of multienzyme, they were divided into two groups（group 1 and group 2） randomly and a control group. Control group was washed by the method according to standard of Ministry of Health. RESULTS Altogether 256 endoscopes were detected. The qualified rate was all 100% in 3 groups and had no statistical difference （P〉0.05）. CONCLUSIONS The methods used in groups 1 and 2 can attain the effect of cleaning and sterility, not only saving lots of multienzyme, but also decreasing environmental pollution and shortening time of cleaning and sterilization. The method used in group 2 can save a lots of multienzyme washing liquor and bandage, which deserves to widely use in clinics.