减压沸腾式清洗机与传统清洗技术清洗眼科器械效果的比较

Comparison of cleaning efficacy of vacuum boiling cleaning machine versus traditional cleaning technology for ophthalmic instruments

目的探讨减压沸腾式清洗机清洗眼科器械的效果。方法将2016年7-12月采用传统方法清洗的眼科器械与2017年1-5月采用减压沸腾式清洗机清洗的眼科器械进行清洗效果、器械耗损及临床满意度的比较。结果传统方法清洗9 121件,减压沸腾式清洗10 183件,目测法检测传统清洗方法和减压沸腾式清洗方法合格率为96.49%vs 99.50%(P=0.000),ATP生物荧光法检测传统清洗方法和减压沸腾式清洗方法合格率为95.10%vs 99.00%(P=0.000)。器械损耗比较,传统方法器械损耗为0.86%,高于减压沸腾式法的0.24%(P=0.000)。采用减压沸腾式清洗法后临床使用满意度由84.17%提高至95.83%(P=0.003)。结论减压沸腾式清洗机适用于眼科器械的清洗,可提高清洗质量及工作效率,降低器械损耗,提高临床使用满意度,值得推广使用。

Objective To investigate the cleaning efficacy of decompression boiling washing machine for ophthalmic instruments. Methods The ophthalmic instruments cleaned by traditional method from July to December in 2016 and by decompression boiling cleaner from January to May in 2017 were selected. Cleaning efficacy, instrument loss and subjective satisfaction were compared between the two methods. Results Totally 9 121 pieces were cleaned by traditional method, and 10 183 pieces by decompression boiling clean. The pass rate of visual inspection for traditional cleaning method and vacuum boiling cleaning was 96.49% vs 99.50%（P =0.000）; the pass rate of ATP bioluminescence detection for traditional cleaning method and vacuum boiling cleaning was 95.10% vs 99.00%（P =0.000）. In terms of instrument loss and clinical satisfaction, vacuum boiling method was also superior to traditional method（instrument loss, 0.24% vs 0.86%, P =0.000; satisfaction, 95.83% vs 84.17%, P =0.003）. Conclusion The vacuum boiling washer can improve the cleaning efficacy and efficiency, reduce instrument loss and improve clinical satisfaction, which is suitable for cleaning ophthalmic instruments.