可弯曲胸腔镜器械盒的设计和使用效果评价

Design and Evaluation of A Flexible Thoracoscope Instrument Kit

目的自行设计制作可弯曲胸腔镜器械盒,并评估其在临床使用效果。方法2017年12月至2019年12月,便利抽样法在某医院呼吸内镜中心的102例可弯曲胸腔镜使用后的处置方式作为评价对象,按时间先后分为对照组(n=45)和观察组(n=57)。观察组采用自行设计的可弯曲胸腔镜器械盒实施收纳、取用、转运、并行低温等离子灭菌;对照组采用传统方法,即无专用器械盒进行收纳、转运、并行“纸塑袋包装”低温等离子灭菌。评价并比较两组可弯曲胸腔镜使用周转率、灭菌合格率、受损率及医护满意率。结果观察组可弯曲胸腔镜使用周转率、灭菌合格率、医护满意率均高于对照组,差异均有统计学意义(均P<0.05);观察组可弯曲胸腔镜的受损率明显低于对照组,差异有统计学意义(P<0.01)。结论采用可弯曲胸腔镜器械盒能有效提高可弯曲胸腔镜的使用效果,值得临床推广应用。

Objective To evaluate the clinical effect of a self-designed flexible thoracoscope instrument kit.Methods From December 2017 to December 2019,the after-use disposal methods of 102 cases using flexible thoracoscopic in a respiratory endoscopy center were selected by convenience sampling method and were divided into a control group(n=45)and an observation group(n=57).In the observation group,the self-designed flexible thoracoscope instrument kit was used to store,access,transport,and low-temperature plasma sterilize flexible thoracoscope.While the control group adopted the traditional method by which no special instrument kit was used to store and transit the flexible thoracoscope,and to sterilize it with paper-plastic bag packaging low-temperature plasma.The usage turnover rate,sterilization qualification rate,damage rate and medical care satisfaction rate of the two groups were evaluated and compared.Results The usage turnover rate,sterilization qualification rate,and satisfaction rate of medical care were higher than those in the control group,and the differences were statistically significant(all P<0.05).The damage rate of the observation group was markedly lower than that in the control group,and the differences were statistically significant(P<0.01).Conclusions The self-designed flexible thoracoscope instrument kit can effectively improve the clinical effect of flexible thoracoscope,which is worth clinical application.