外来手术器械使用后规范化处理探讨

Standardized treatment of foreign surgical instruments

目的针对外来器械在各医院间频繁流通的问题,改进传统的用后处理模式,以提高器械的清洗、消毒、灭菌及管理的有效性。方法抽查2012年1-10月外来器械300件,抽取150件流动水冲洗后送至消毒供应中心待洗涤的手术器械作为对照组,另抽取150件长期存放且已于手术结束后进行清洗机清洗消毒的器械作为试验组,对比两组清洗效果,数据采用SPSS 13.0软件进行统计分析。结果对照组清洗前细菌检出率为32.00%、HBSAg阳性率为7.33%、潜血阳性率为43.33%,均高于清洗后的6.00%、0.67%、6.67%;试验组清洗前细菌检出率为6.67%、HBSAg阳性率为1.33%、潜血阳性率为5.33%,均高于清洗后的1.33%、0、2.00%,但清洗后对照组的细菌检出率和潜血阳性率均低于对照组,即试验组优于对照组。结论通过建立外来器械规范化流程管理,保证了外来手术器械质量,提高了手术安全性、高效性,为患者提供了及时、准确、安全、有效的医疗护理服务,应用效果良好。

OBJECTIVE To improve the conventional treatment mode of the foreign surgical instruments that are frequently communicate among the hospitals so as to raise the effectiveness of the cleaning ,disinfection ,and steri‐lization of the instruments .METHODS A total of 300 foreign surgical instruments were randomly selected from Jan 2012 to Oct 2012 ,then 150 instruments were rinsed with running water and submitted to the central sterile supply department ,which were assigned as the control group ,while ,150 surgical instruments were preserved for a long period of time and cleaned and disinfected after the surgery ,which were set as the experimental group .The cleaning effect was observed and compared between the two groups ,and the statistical analysis of data was per‐formed with the use of SPSS 13 .0 software .RESULTS The detection rate of bacteria of the control group was 32 .00% before the cleaning ,higher than 6 .00% after the cleaning ;the positive rate of HBSAg of the control group was 7 .33% before the cleaning ,higher than 0 .67% after the cleaning ;the positive rate of occult blood of the control group was 43 .33% before the cleaning ,higher than 6 .67% after the cleaning .The detection rate of bacteria of the experimental group was 6 .67% before the cleaning ,higher than 1 .33% after the cleaning ;the pos‐itive rate of HBSAg of the experimental group was 1 .33% befoe the cleaning ,higher than 0 after the cleaning ;the positive rate of occult blood of the experimental group was 5 .33% before the cleaning ,higher than 2 .00% after the cleaning .The detection rate of bacteria and the positive rate of occult blood of the experimental group were lower than those of the control group , and the experimental group was superior to the control group . CONCLUSION The establishment of the standardized process management of the foreign instruments may ensure the quality of foreign surgical instruments ,improve the surgical safety and effectiveness ,and offer the timely ,ac‐curate ,safe ,and effective medical service ,with the application effect good .