探讨不同清洗流程对妇科器械清洗质量的影响

Investigate the Effects of Different Cleaning Process of Cleaning Quality of Gynecological Instruments

目的:探讨不同清洗流程应用于妇科器械的清洗,选择能够获取最佳质量的清洗流程,确保器械的灭菌质量保证手术患者的安全,降低院内感染的发生。方法:将已使用的妇科器械分为A、B、C组,A组妇科器械全自动清洗机清洗,B组妇科器械纯手工清洗,C组妇科器械采用超声清洗+手工刷洗+全自动清洗机清洗,利用目测法、白纱垫法、ATP荧光检测法比较三组妇科器械清洗质量。结果:三组清洗器械方法中清洗质量比较,B、C组清洗方法下的质量明显高于A组,比较差异有统计学意义(P<0.05)。B组与C组比较,差异无统计学意义(P>0.05)。结论:妇科器械因结构特殊不能完全依赖清洗机清洗,也不可以纯手工清洗,必须将手工清晰与超声清洗相配合才能保证清洗质量。

Objective： To discuss the different cleaning processes used in the cleaning of gynecological instruments, to get the best quality of cleaning process to ensure quality sterile surgical instruments to ensure patient safety, reduce the incidence of nosocomial infections.Method： The gynecological instruments used were divided into A, B and C group, A group was given automatic washing machine cleaning, B group was given pure hand washing, C group was given ultrasonic cleaning hand scrub＋automatic washing machine cleaning.The visual method, white gauze pad method and ATP fluorescence detection were used to compare three groups cleaning quality.Result： The quality of cleaning in group B and C were significantly higher than that in group A （ P〈0.05 ）, the differences were statistically significant.There was no significant difference between group B and C （P〉0.05 ） . Conclusion： Gynecological equipment due to the special structure can not rely entirely on washing machine cleaning, can not be purely manual cleaning, manual cleaning and ultrasonic cleaning must be matched to ensure the quality of cleaning.