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目的:分析苏州市内镜清洗效果的影响因素并提出改进对策。方法:对苏州市28家二级以上医院进行现场查看和问卷调查,并采用ATP生物荧光检测法检测内镜清洗效果。结果:每日工作量>37.7条的清洗不合格率为23.80%明显高于<37.7条的为7.89%(P<0.05);平均清洗消毒时间<8.2 min、>8.2~15.8 min、>15.8 min的三组清洗不合格率经组间比较其差异有统计学意义(P<0.05);内镜的使用年限>8年、>3~8年和<3年,内镜的清洗不合格率也不同(P<0.05);内镜的初洗时间、漂洗时间也影响内镜的清洗效果((P<0.05);但在酶的平均使用量、内镜每日平均使用频率、酶的浓度、清洗时间、漂洗水质等方面均未与内镜清洗效果有关。结论:清洗工作量、平均清洗消毒时间、初洗时间、漂洗时间和内镜的使用年限等因素影响内镜清洗效果。
Objective: To analyze the influencing factors of endoscopic cleaning effect in Suzhou and to propose the improvement measures. Methods: On-site inspection and questionnaire survey were carried out on 28 secondary hospitals in Suzhou City. The endoscopic cleaning effect was detected by ATP biofluorescence assay. Results: The rate of 37.7 cases of daily work load was 23.80% and 7.89% (P <0.05), respectively. The average cleaning and disinfection time was less than 8.2 minutes,> 8.2 to 15.8 minutes and> 15.8 minutes Of the three groups of cleaning failure rate by the group compared with the difference was statistically significant (P <0.05); endoscopy of the useful life of> 8 years,> 3 ~ 8 years and <3 years, endoscopic cleaning failure rate (P <0.05). The initial cleaning time and rinsing time of endoscope also affected the cleaning effect of endoscope (P <0.05). However, the average usage of endoscope, the daily average frequency of endoscopy, the concentration of enzyme, Cleaning time, rinsing water quality, etc. were not related to the endoscopic cleaning effect.Conclusion: Cleaning workload, the average cleaning and disinfection time, the initial wash time, rinse time and the endoscopy of life and other factors affect the endoscopic cleaning effect.