目的针对外来器械在各医院间频繁流通的问题,改进传统的用后处理模式,以提高器械的清洗、消毒、灭菌及管理的有效性。方法抽查2012年1-10月外来器械300件,抽取150件流动水冲洗后送至消毒供应中心待洗涤的手术器械作为对照组,另抽取150件长期存放且已于手术结束后进行清洗机清洗消毒的器械作为试验组,对比两组清洗效果,数据采用SPSS 13.0软件进行统计分析。结果对照组清洗前细菌检出率为32.00%、HBSAg阳性率为7.33%、潜血阳性率为43.33%,均高于清洗后的6.00%、0.67%、6.67%;试验组清洗前细菌检出率为6.67%、HBSAg阳性率为1.33%、潜血阳性率为5.33%,均高于清洗后的1.33%、0、2.00%,但清洗后对照组的细菌检出率和潜血阳性率均低于对照组,即试验组优于对照组。结论通过建立外来器械规范化流程管理,保证了外来手术器械质量,提高了手术安全性、高效性,为患者提供了及时、准确、安全、有效的医疗护理服务,应用效果良好。 Objective To solve the problem of frequent circulation of foreign instruments among hospitals and to improve the traditional post-treatment mode in order to improve the effectiveness of equipment cleaning, disinfection, sterilization and management. Methods A total of 300 surgical instruments were randomly selected from January to October in 2012. 150 surgical water samples were collected and rinsed to a sterile supply center. The surgical instruments to be washed were used as a control group. Another 150 long-term storage devices were cleaned and cleaned after the operation Disinfection equipment as a test group, compared two groups of cleaning effect, the data using SPSS 13.0 software for statistical analysis. Results The positive rate of bacteria in the control group before washing was 32.00%, the positive rate of HBSAg was 7.33%, the positive rate of occult blood was 43.33%, which were higher than 6.00%, 0.67% and 6.67% Was 6.67%, the positive rate of HBSAg was 1.33%, and the positive rate of occult blood was 5.33%, which were higher than 1.33% and 0,2.00% after cleaning, but the detection rate of bacteria and the positive rate of occult blood in the control group after washing were lower than those in control Group, that is, the experimental group is better than the control group. Conclusions The establishment of standardized management of external devices ensures the quality of external surgical instruments, improves the safety and efficiency of the operation, and provides timely, accurate, safe and effective medical care services to patients. The application effect is good.