两种内镜手术器械清洗效果的比较

Comparison of Cleansing Effect Between Dismountable and Undismountable Endoscopes in Operating Rooms

目的探讨可拆洗与不可拆洗的两种内镜手术器械清洗的效果,提高手术器械的清洗质量。方法选择手术室中度污染的内镜器械300件,按可拆洗、不可拆洗分为两组,每组150件,均按卫生部内镜清洗规范要求清洗。结果清洗后可拆洗组内镜器械的洁净度和隐血试验阳性率分别为94.7%和5.3%;清洗后不可拆洗内镜器械的洁净度和隐血试验阳性率分别为49.3%和69.3%;可拆洗组明显优于不可拆洗组(P<0.05)。结论可拆洗内镜器械清洗质量有保证,是医院内镜手术的首选器械。

OBJECTIVE To probe into the effect with the same cleansing method between dismountable and undismountable endoscopes in operating rooms, in order to finally improve the cleansing quality of surgical instruments. METHODS A total of 300 pieces of endoscopes with moderate pollution selected from operating rooms, were equally divided into dismountable and undismountable groups. They were all cleansed according the criteria by Ministry of Health. RESULTS After cleansing, the cleanliness and the occult blood test positive rate were 94.7% and 5.3%, respectively, for dismountabie endoscopes vs 49.3% and 69.3%, respectively. It was obvious that the former superior （P〈0.05）. CONCLUSIONS There is enough guarantee for the cleansing quality of dismountable endoscopes, and they are the best choice of surgical instruments for endoscopic operation.