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目的探讨改进清洗流程对复用性金属管腔器械的清洗效果。方法将金属气管内套管、手术中使用金属吸引头等复用性器械600件,随机分为A组(酶泡+超声+刷洗)、B组(酶泡+刷洗+超声+刷洗)、C组(酶泡+刷洗+超声+进清洗机),各200件,通过目测、白纱布或长棉签检测、ATP生物荧光法检测清洗消毒效果。结果目测法、白纱布或棉签法检测以及干燥效果检测结果显示,B组和C组清洗方法的检测合格率均高于A组。经3种方法清洗后器械的ATP生物荧光法检测结果均达到合格标准,B、C两组的RLU值明显低于A组。采用器械竖直放置在干燥柜内的方式较平放在篮筐内,干燥合格率由91%~92%提高到98%~99%;采用器械竖立放置于清洗机内,自动完成清洗、消毒、烘干程序的干燥合格率达到99%~100%。结论采用酶泡+刷洗+超声+清洗机的处理方法,清洗效果最佳。
Objective To explore the effect of cleaning process on the reusable metal lumen instruments. Methods A total of 600 reusable devices such as metal suction head were used in the operation. The patients were randomly divided into group A (enzyme bubble + ultrasound + brushing), group B (enzyme bubble + brushing + ultrasonic + brushing), group C (Enzyme bubble + brush + ultrasound + into the washing machine), each 200, through visual inspection, gauze or long cotton swab test, ATP biofluorescence test cleansing and disinfection. Results Visual inspection, test of white gauze or cotton swab and drying effect test showed that the qualified rate of cleaning in group B and group C was higher than that in group A. After cleaning by three methods, ATP biofluorescence test results of the devices reached the passing standard. The RLU values of B and C groups were significantly lower than that of A group. Using instruments vertically placed in the drying cabinet way is more flat in the basket, the drying pass rate from 91% to 92% to 98% to 99%; using the instrument erected placed in the washing machine, automatic cleaning and disinfection , The drying process of drying pass rate of 99% to 100%. Conclusion The enzymatic bubble + brushing + ultrasonic + washing machine processing method, the best cleaning effect.