腹腔镜手术器械清洗不合格因素分析及对策

The factor analysis and countermeasures of the disqualification of laparoscopic surgical instrumens' cleaning

目的探讨清洗腹腔镜手术器械不合格原因，并提出对策。方法选择2013年8月-2014年1月清洗的腹腔镜器械500件为对照组，2014年2月～6月清洗的腹腔镜手术器械500件为实验组。由专人负责调查分析对照组中清洗不合格的原因，提出对策并在实验组中实施。结果两组器械在使用后及时回收、对器械行保湿处理且方法正确、无预清洗及清洗时使用高压水枪、正确方法装载固定于腔镜清洗架的情况比较，差异具有统计学意义（P〈0．05）。结论加强工作人员的专业培训、及时回收、有效的保湿、有效的预清洗及按清洗操作规程等，可提高腹腔镜手术器械的清洗合格率。

Objective To study the unqualified cause of laparoscope＇ cleaning and put forward the countermeasure. Methods 500 cleaned laparoscope from the August 2013 to the January 2014 were chosen as control group; while 500 cleaned laparoseope from the February 2014 to the June 2014 were selected as experimental group. A specially-as- signed person analyzed the unqualified causes of the cleaning between two groups and put forward the countermeasures and carried them out in the experimental group. Results Compare the situation between two groups in recycling in time after used, in moisturizing treatment with right method and no washing in advance, in using the water torch during washing and in fixing on laparoscope wash rack with fight method. The difference was significant（ P 〈 0.05 ）. Conclusion Strengthening the professional training of the staff, recycling in time, moisturizing effectively, washing in advance effectively and washing under operating instructions could improve the qualification rate of laparoseope cleaning.