血污手术器械清洁效果的影响因素分析及关键环节控制

Influence factors and quality control of bloodstatned surgical instruments clena effect

目的比较血污手术器械两种浸泡方法的效果，并分析其影响因素，控制关键环节，提高手术器械清洗质量和清洗效率、降低损耗。方法分析血污手术器械清洁效果的影响因素，对器械初始保湿方法进行验证，针对关键因素制定改进措施。结果清水组器械氧化反应率为19．60％，消毒液组器械氧化反应率为2．30％，组间比较差异具有统计学意义（X^2=26．04，P〈0．01）。关键环节控制前卵圆钳返洗率为23．7％，损耗率为15．0％，关键环节控制后，卵圆钳返洗率为0．7％，损耗率为0，组间比较差异有统计学意义（X^2分别为74．25，48．69；P〈0．01）。结论消毒供应室控制关键环节，能提高手术器械清洗质量和清洗效率，降低损耗。

Objective To compare the effect of two kinds of soaking methods on bloodstained surgical insturments,and analyze influence factors for instruments clean effect, control key link, improve quality and clean surgical instruments washing efficiency, and to reduce the consumption. Methods Points on three analysis phase： analysis of the cause and gory surgical instruments clean effect. Factors validation phase： on the basis of the moisturizing method is verified. Improve phase： for key factors, establishing countermeasure. Results Oxidation rate of instruments in water group was 19.60%, and 2.30% in disinfection group, the difference between two groups was significant （ X^2 = 26.04, P 〈 0. 01 ）. Re-washing rate of oval forceps was 23.7% and consumption rate was 15.0% before quality control and those were 0.7% and 0 after quality control, the difference was significant （ X^2 = 74.25, 48.69, respectively; P 〈 0. 01 ）. Conclusions Sterilization supply ＆distribution control two keys could improve the quality and washing efficiency of surgical instruments, and reduce the consumption.