不同方法保湿清洗医疗器械效果的对比分析

目的 检测分析3种不同保湿方法清洗医疗器械的效果.方法 选择＜7d全院临床科室使用后的医疗器械,采用3种不同的保湿和清洗方法处理；A组:0.5％含氯消毒剂保湿+手工清洗,B组:酶清洗剂保湿+机洗,C组:碱性清洗液+酶清洗剂保湿+超声+升级后的清洗机清洗；清洗后的器械用目测方法:裸视和带光源5倍放大镜下观察及隐血试验法检测其清洗效果.结果 3种方法处理器械裸视目测合格率A组:为92.01％,B组:为96.07％,C组:为99.14％,C组明显高于A组,差异有统计学意义(P＜0.01).结论 医院应根据新标准的要求,选择合适的保湿清洗器械方法,建立正确的清洗流程.

A comparative study on efficiency of different methods for medical device moisturizing and cleaning

OBJECTIVE To analyze the efficiency of 3 different medical devices moisturizing and cleaning methods before and after the implementation of new national industrial standard for central sterile supply department issued by the MOH.METHODS The medical devices from the clinics after use within 7days were chosen,and three different moisturizing and cleaning methods were applied.Group A:the medical devices were moisturized with 0.5% chlorine disinfectant and cleaned by hand.Group B were moisturized with enzyme detergent and cleaned by machine.Group C were moisturized with alkaline cleaning liquid and enzyme detergent and then cleaned with ultrasound machine and upgraded washer.The cleaning effect on the medical devices was evaluated by visual examination(observed with naked eyes and with 5 times magnifying glass with light) and occult blood test.RESULTS The qualified rates of the three methods evaluated with naked eyes were:Group A(92.01%),Group B(96.07%),and Group C(99.14%).The qualified rate of Group C was significantly higher than that of Group A(P<0.01).CONCLUSION Hospitals should select appropriate moisturizing and cleaning method for medical devices to establish correct cleaning procedure under the new national standard requirements.