过氧化氢等离子低温灭菌法在手术室应用中成本研究

Hydrogen Dioxide Hypothermic Plasma Sterilizing System in Operating Room:A study of Application Cost

目的探讨降低过氧化氢等离子低温灭菌系统（STERRAD 100S）在手术室腔镜器械应用中的灭菌成本。方法对使用STERRAD 100S灭菌的腔镜器械954次灭菌循环，分为改进前454次，改进后500次，分析其耗材的使用。结果改进后采用重复使用无纺布、透明包装袋、提高有效循环灭菌率，从改进前的85．0％上升至96．0％；改进后腔镜器械使用过氧化氢等离子灭菌成本比改进前降低2～3倍。结论提高耗材重复使用率及有效循环率能降低灭菌成本，有利于减轻患者负担和确保患者利益。

OBJECTIVE To explore the application of hydrogen dioxide hypothermic plasma sterilizing system （STERRAD 100S） in operating room, and study the cost. METHODS The cost of sterilizing endoscopic instruments in operating room was analyzed. And the method of using medical material was improved as follows.. use the non-woven fabrics and transparent packing bags repeatly to increase the utilization efficiency of medical material. RESULTS Compared with the traditional method,the cost of sterilizing instruments by STERRAD 100S decreased 2-3 times, which brought much economic benefit. CONCLUSIONS 100S Can improve the working efficiency, reduce inventory level of endoscopic instruments and sterilizing cost, which can relief patient economic burden and ensure patient interest.