Influence of pretreatment and moisturizing measures based on feedforward control on cleaning efficiency of metal instruments
-
摘要: 目的 探讨基于前馈控制的预处理保湿措施对金属器械清洗效果的影响。 方法 将250件样本分别进行8次实验,总共获得2 000个样本。每次进行染血处理后,将250件样本随机分为A、B、C、D、E共5组。A组采用纯化水; B组采用1∶200的稀释多酶清洗液; C组采用1∶200的稀释碱性清洁剂; D组采用泡沫酶预处理剂; E组不做保湿预处理。比较5组器械保湿预处理4、24 h后的目测法与隐血试验(OB试验)结果。 结果 A、B、C、D组保湿预处理4 h后器械表面目测清洗合格率高于E组, B、C、D组器械内壁目测清洗合格率、OB试验合格率高于A组和E组,差异均有统计学意义(P<0.05或P<0.01)。A、B、C、D组保湿预处理24 h后器械表面目测清洗合格率高于E组, D组器械内壁目测清洗合格率、OB试验合格率高于A、B、C组,差异均有统计学意义(P<0.05或P<0.01)。 结论 泡沫酶预处理剂保湿后清洗效果最佳,碱性清洁剂与酶清洗剂在短时间内对器械保湿处理后清洗效果较好,而纯水保湿处理后清洗效果不佳。Abstract: Objective To explore the influence of pretreatment and moisturizing measures based on feedforward control on cleaning efficiency of metal instruments. Methods A total of 2 000 samples were obtained from 250 samples in 8 experiments. Every time after blood staining, 250 samples were randomly divided into groups A, B, C, D and E. Group A was processed with purified water, group B was processed with 1∶200 diluted multi enzyme cleaning solution, group C was processed with 1∶200 diluted alkaline cleaning agent, group D was processed with soaking moisturizing gel, and group E was processed with no moisturizing pretreatment. The results of visual inspection and occult blood test(OB test)were compared between the five groups after moisturizing pretreatment for 4 and 24 h. Results The qualified rates of visual cleaning of instrument surface in groups A, B, C and D were significantly higher than those in group E after 4 h of moisturizing pretreatment, and the qualified rates of visual cleaning and OB test of instrument inner wall in groups B, C and D were significantly higher than those in groups A and E(P<0.05 or P<0.01). The qualified rates of visual cleaning of instrument surface in groups A, B, C and D were significantly higher than that in group E after 24 h of moisturizing pretreatment, and the qualified rates of visual cleaning and OB test of instrument inner wall in group D were significantly higher than those in groups A, B and C(P<0.05 or P<0.01). Conclusion The foam enzyme pretreatment agent has the best cleaning effect after moisturizing. The alkaline cleaner and enzyme cleaner have better cleaning effect after moisturizing treatment - in a short time, and the cleaning effect of pure water moisturizing treatment is not good.
-
-
冯琬钦, 李海平. 消毒供应中心参与临床复用污染器械的预处理对器械保值和清洗效果的改进与评价[J]. 实用临床护理学电子杂志, 2020, 5(16): 178-179. 唐乃梅, 宋春, 木业色·艾尔肯江. 预处理保湿方式对长时间滞留手术器械清洗质量的影响研究[J]. 中国消毒学杂志, 2019, 36(10): 738-740. 孙燕霞. 腹腔镜手术后预处理时效性对器械清洗质量的影响研究[J]. 齐齐哈尔医学院学报, 2019, 40(13): 1714-1715. 巫秀珍, 马笑含, 李丽娣, 等. 隔夜手术器械预处理中保湿剂的合理应用效果分析[J]. 国际护理学杂志, 2019, 38(9): 1237-1239. 吴赛萍, 李凌芸. 不同预处理方式对夜间急诊手术器械的清洗效果观察[J]. 中华卫生应急电子杂志, 2018, 4(3): 172-175. 吴茜, 徐权. 不同保湿预处理方法对硬式内镜器械清洗效果的影响分析[J]. 中外医学研究, 2017, 15(30): 161-162. 韩春红, 卢崇梅, 陆晓梅. 复用器械使用后预处理存在问题的调查分析与改进效果[J]. 中国实用护理杂志, 2017, 33(28): 2224-2227. 姚艳华, 余枝秀, 彭施萍, 等. 保湿预处理方式对隔夜手术器械清洗效果观察[J]. 中国消毒学杂志, 2017, 34(6): 576-577. 于伟, 张燕, 邢巨影, 等. 不同预处理方法对手术器械防锈的效果观察[J]. 中华医院感染学杂志, 2016, 26(20): 4780-4781 , 4784.
秦洁, 韦秀佳, 唐小敏. 不同保湿预处理方法对金属管腔器械清洗效果的观察[J]. 中华医院感染学杂志, 2014, 24(1): 250-252. 史玲玲, 史婧, 高振邦, 等. 两种不同清洗方法对管腔器械的清洗效果比较[J]. 中国消毒学杂志, 2017, 34(4): 378-379. 梁自轩, 谭庆兰, 袁小玲. 探讨品管圈在妇科器械清洗管理中的应用[J]. 中国卫生标准管理, 2020, 11(7): 140-142. 陈燕华, 易良英, 胡娟. 管腔器械清洗固定架的设计与应用[J]. 中国消毒学杂志, 2020, 37(1): 78-79. 杨敬霞, 叶碧华, 吴碧昭. 不同清洗剂用于重复使用医疗器械黄斑清洗效果的评价[J]. 中国感染控制杂志, 2017, 16(11): 1082-1083. 任莉, 廉伟. 宫腔镜微型钳/剪撑开器在清洗消毒灭菌中的应用效果观察[J]. 实用临床护理学电子杂志, 2019, 4(35): 94-94 , 101.
王丽萍. 手术室医疗器械清洗和灭菌工作进行严格质量管理的效果研究[J]. 中国医疗器械信息, 2019, 25(16): 20-21. -
期刊类型引用(5)
1. 胡晓敏,孔晓明,孙艳,张丽,吕思文,谢朋宇,郭雨. 共病2型糖尿病的老年期抑郁障碍患者血糖波动及与脂代谢特征的相关性研究. 临床医学研究与实践. 2024(16): 64-67 . 百度学术
2. 朱林美. 2型糖尿病患者行常规心电图检查的意义. 名医. 2024(03): 93-95 . 百度学术
3. 王惠,吴茜,李晴,邱彩玉,周晶晶. 空腹血糖、脂代谢指标与无症状高血压人群心电图ST-T改变关系及其诊断价值研究. 陕西医学杂志. 2023(09): 1196-1199 . 百度学术
4. 陈晓琪. 86例高龄糖尿病患者的临床情况分析. 糖尿病新世界. 2022(06): 42-45 . 百度学术
5. 魏峰,张玉顺,王星烨,霍建华. 高糖与胰岛素对人诱导多潜能干细胞来源的心肌细胞电生理特性的影响. 中南大学学报(医学版). 2022(05): 610-618 . 百度学术
其他类型引用(1)
计量
- 文章访问数: 242
- HTML全文浏览量: 59
- PDF下载量: 7
- 被引次数: 6