擴(kuò)陰器不同清洗消毒方法和流程改進(jìn)的效果評(píng)價(jià)

周亞春 繆錫芬

【摘 要】目的：探討本院消毒供應(yīng)中心對(duì)擴(kuò)陰器采用不同清洗消毒方法和流程改進(jìn)的效果。方法：將2019年9月1日至2019年9月10日本院計(jì)生科人流包、上環(huán)包、婦科清宮包內(nèi)擴(kuò)陰器240只，隨機(jī)均分成A、B、C三組，每組80只。A組采用常規(guī)多酶浸泡手工刷洗聯(lián)合全自動(dòng)清洗消毒器清洗消毒，B組采用95%乙醇擦洗多酶浸泡聯(lián)合全自動(dòng)清洗消毒器清洗消毒，C組采用堿性還原電位水刷洗聯(lián)合全自動(dòng)清洗消毒器清洗消毒。應(yīng)用目測(cè)法、白紗布擦拭法、蛋白殘留測(cè)試對(duì)比三組擴(kuò)陰器清洗消毒效果和質(zhì)量。結(jié)果：三組清洗效果均符合院感要求，C組目測(cè)法、白紗布擦拭法、蛋白殘留測(cè)試檢測(cè)值各項(xiàng)均顯著優(yōu)于A組、B組，差異均有統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論：用堿性還原電位水刷洗聯(lián)合全自動(dòng)清洗消毒器清洗消毒能有效去除擴(kuò)陰器上的分泌物殘留及碘伏，白紗布檢測(cè)無污漬，切實(shí)可行。

【關(guān)鍵詞】擴(kuò)陰器;全效多酶清洗液;95%乙醇;堿性還原電位水;清洗質(zhì)量

[Abstract] Objective：To explore the effect of different cleaning and disinfection methods and process improvement on the diffuser in our hospital disinfection supply center. Methods： From September 01 to 10， 2019， the Family Planning Department's flow package， the upper ring package， and the gynecological Qing Palace package 240 were randomly divided into three groups： A， B， and C， with 80 in each group. Group A was cleaned and disinfected by conventional multi-enzyme soaking manual scrubbing combined with automatic cleaning and sterilizing machine. Group B was cleaned and disinfected by 95% alcohol scrubbing multi-enzyme soaking combined with automatic cleaning and disinfecting device. Group C was treated with alkaline reducing potential water brushing and automatic cleaning. The sterilizer is cleaned and disinfected. The visual inspection method， the white gauze wiping method and the protein residue test were compared to the cleaning and disinfection effects and quality of the three sets of diffuser. Results： The cleaning effects of the three groups were in line with the hospitality requirements. The visual values of the C group， the white gauze wiping method and the protein residue test were significantly better than the A group and the B group， and the differences were statistically significant （P<0.05）. Conclusion： The alkaline reduction potential water brushing combined with the automatic cleaning and disinfecting device can effectively remove the secretion residue and iodophor on the diffuser. The white gauze is free from stains and is feasible.

[Key words]Diffuser; Full-effect multi-enzyme cleaning solution; 95% alcohol; Alkaline reduction potential water; Cleaning quality

計(jì)生科人流包、上環(huán)包及婦科清宮包內(nèi)的擴(kuò)陰器因在使用過程中接觸了大量的碘伏，回收后采用常規(guī)的多酶浸泡、手工刷洗聯(lián)合全自動(dòng)清洗消毒器清洗消毒，其清洗消毒效果不盡如人意[1-2]。本消毒供應(yīng)中心不斷查找原因，在清洗質(zhì)量檢測(cè)中發(fā)現(xiàn)白紗布上有黃色污漬，系碘伏殘留于擴(kuò)陰器上所致，因此采用了95%乙醇擦洗多酶浸泡擴(kuò)陰器聯(lián)合全自動(dòng)清洗消毒器清洗消毒，取得了明顯的效果，可在波洱蛋白殘留檢測(cè)中出現(xiàn)陽性反應(yīng)，試著采用了堿性還原電位水浸泡刷洗再聯(lián)合全自動(dòng)清洗消毒器清洗消毒，未曾想起到了意想不到的效果，經(jīng)過反復(fù)使用對(duì)比和質(zhì)量檢測(cè)，對(duì)清洗流程進(jìn)行科學(xué)改進(jìn)，規(guī)范主客觀檢測(cè)指標(biāo)，達(dá)到了理想的清洗消毒效果，現(xiàn)將相關(guān)資料報(bào)告如下。

1 材料與方法

1.1 材料

擴(kuò)陰器240只;強(qiáng)效多酶清洗液（3M公司）;95%乙醇（興化市醫(yī)療衛(wèi)生用品有限公司）;堿性還原電位水;清洗刷（長(zhǎng)恒縣）;白紗布（江陰市醫(yī)療廠）。