内窥镜清洁器在腹腔镜手术中的应用效果

Application effect of endoscopic cleaner in laparoscopic surgery

目的观察腔镜手术内窥镜清洁器在腹腔镜手术中的应用效果。方法选取择期腹腔镜手术患者240例作为研究对象,采用随机数字表法分为试验组和对照组,每组120例。试验组采用自行设计的腔镜手术内窥镜清洁器,对照组采用传统的碘伏纱布擦拭法。观察2组每台手术清洁总次数、一次性清洁不成功次数、单次清洁平均时长、手术医生对内窥镜清洁的满意度。结果试验组每台手术清洁总次数为(5.67±1.29)次,少于对照组的(8.41±1.88)次,差异有统计学意义(P<0.05);试验组一次性清洁不成功次数为(1.08±0.92)次,少于对照组的(3.13±1.31)次,差异有统计学意义(P<0.05);试验组单次清洁平均时长为(30.95±7.19)s,短于对照组的(59.68±12.84)s,差异有统计学意义(P<0.05);试验组手术医生的满意率为95.8%,高于对照组的89.2%,差异有统计学意义(P<0.05)。结论在腹腔镜手术中应用内窥镜清洁器能缩短清洁时间和手术视野恢复时间,提高腹腔镜手术内窥镜清洁的质量和手术医生的满意度。

Objective To observe the application effect of endoscope cleaner for endoscopic surgery in laparoscopic surgery.Methods A total of 240 patients with elective laparoscopic surgery were selected as the research objects,and they were randomly divided into trail group and control group,with 120 cases in each group.The trail group used the self-designed endoscopic cleaner for endoscopic surgery,while the control group used the traditional iodophor gauze wiping method.The total cleaning time for each operation,the number of unsuccessful cleaning by one time,the average cleaning time for a single operation,and the satisfaction degree of surgeons to the cleaning of endoscopes were observed in both groups.Results The total cleaning time for each operation was(5.67±1.29)in the trail group,which was significantly less than(8.41±1.88)in the control group(P<0.05);the number of unsuccessful cleaning by one time was(1.08±0.92)in the trail group,which was significantly less than(3.13±1.31)in the control group(P<0.05);the average duration of a single cleaning was(30.95±7.19)seconds in the trail group,which was significantly shorten than(59.68±12.84)seconds in the control group(P<0.05);the satisfaction rate of the surgeons in the trail group was 95.8%,which was significantly higher than 89.2%in the control group(P<0.05).Conclusion Application of endoscopic cleaner in laparoscopic surgery can shorten the cleaning duration and the recovery of surgical field of vision,and improve the quality of endoscopic cleaning in laparoscopic surgery and the satisfaction degree of surgeons.