碱性清洗剂对提高硬式腔镜器械清洗的质量与经济成本的影响

Effect of Alkaline Cleaning Agent on Improving the Cleaning Quality and Economic Cost of Hard Endoscopic Instruments

目的:分析在硬式腹腔镜器械清洗过程中选择碱性清洗剂的清洗质量及经济成本。方法:将河源市妇幼保健院消毒供应室2021年9月~2022年8月清洗的硬式腹腔镜器械共420份作为本次观察对象,根据随机数字表法分为观察组(碱性清洗剂,210份)和对照组(常规清洗剂,210份),比较分析两组清洗后硬式腹腔镜清洗质量(优、良、差)、经济成本、管理质量(器械管理、包装管理、环境管理)、清洗消毒合格率(物品消毒合格率、手卫生合格率、消毒液浓度调整合格率、手术器械除锈合格率)。结果:观察组清洗质量高于对照组,经济成本更低,对比有统计学意义(P<0.05);比较两组管理质量可见,观察组高于对照组,对比有统计学意义(P<0.05);比较两组清洗后消毒合格率可见,对比有统计学意义(P<0.05)。结论:在硬式腹腔镜器械清洗过程中采取碱性清洗剂干预可明显提高器械的清洗质量,同时还能减少消毒供应室内清洗成本,较常规清洗剂更有利于提高管理质量。

Objective:To analyze the cleaning quality and economic cost of alkaline cleaning agent in the cleaning quality process of hard laparoscopic instruments.Methods:A total of 420 hard laparoscopic instruments cleaned in the disinfection supply room of Heyuan Maternal and Child Health Hospital from September 2021 to August 2022 were taken as the objects of this study.They were divided into observation group(alkaline cleaning agent,210 pieces)and control group(conventional cleaning agent,210 pieces)according to random number table method.The quality of hard laparoscopic cleaning(qualified,unqualified),economic cost,management quality(instrument management,packaging management,environmental management),pass rate of hand hygiene and pass rate of surgical instrument rust removal were compared and analyzed between the two groups.Results:The cleaning quality of the observation group was higher than that of the control group,and the economic cost was lower,with statistical significance(P<0.05).The comparison of management quality between the two groups showed that the observation group was higher than the control group(P<0.05);The pass rate of hand hygiene after cleaning between the two groups was statistically significant(P<0.05).Conclusion:The intervention of alkaline cleaning agent in the cleaning process of hard laparoscopic instruments can obviously improve the cleaning quality of instruments,and reduce the cleaning cost of disinfection and supply of indoor cleaning,which is more conducive to improving the management quality than the conventional cleaning agent.