丁赟　王开秀　韦秀佳　唐小敏

【摘要】 目的：比较两种不同清洗消毒方法对复用医疗器械的处理效果。方法：选择复用医疗器械共120件，分成A、B两组，每小组分别包含管腔类、轴与关节类、普通类器械各20件。A组采用手工清洗加全自动清洗消毒器清洗，B组采用手工清洗加超声波清洗机清洗。用手持型ATP荧光检测仪检测各器械清洗消毒后的RLU值。结果：A组管腔类器械有3件不合格，轴与关节类器械有1件不合格，B组全部器械合格。管腔类器械、轴与关节类器械采用两种不同清洗消毒方法处理后检测RLU值比较，差异有统计学意义（P<0.01），而普通类器械采用两种不同清洗消毒方法处理后检测RLU值比较，差异无统计学意义（P>0.05）。结论：普通类医疗器械宜选择手工清洗加全自动清洗消毒器清洗，以提高工作效率，而管腔类、轴与关节类医疗器械则采用手工清洗加超声波清洗机清洗效果最佳。

【关键词】 消毒供应中心； 清洗； 消毒

doi：10.14033/j.cnki.cfmr.2017.6.091 文献标识码 B 文章编号 1674-6805（2017）06-0159-02

Effect Analysis of Two Methods of Cleaning and Disinfection for Different Medical Apparatus/DING Yun，WANG Kai-xiu，WEI Xiu-jia，et al.//Chinese and Foreign Medical Research，2017，15（6）：159-160

【Abstract】 Objective：To compare the treatment effect of two different methods of cleaning and disinfection for medical apparatus.Method：A total of 120 recyclable medical instruments were selected and divided into group A and group B，each group contained lumen，shaft and joint，ordinary apparatus 20 pieces.Used manual cleaning and automatic cleaning sterilizer for the group A，group B adopted manual cleaning and ultrasonic cleaning machine to clean.Handheld ATP fluorescence detector was used to detect the RLU value after the cleaning and disinfection of the apparatus.Result：In group A，lumen machine had three pieces of unqualified，shaft and joint machine had 1 piece unqualified.In group B，all the instruments were qualified.For the lumen apparatus，shaft and joint apparatus，there were significant differences between the two different methods of cleaning and disinfection in RLU value（P<0.01）.There was no significant difference for the ordinary apparatus between the two different methods of cleaning and disinfection in RLU value（P>0.05）.Conclusion：Ordinary medical apparatus shall select manual cleaning and automatic cleaning sterilizer cleaning in order to improve the work efficiency，and lumen，shaft and joint medical apparatus shall adopt manual cleaning and ultrasonic cleaning machine to reach the best effect.

【Key words】 Central sterile supply department； Cleaning； Disinfection

First-authors address：The Affiliated Hospital of Guilin Medical University，Guilin 541001，China

復用手术器械表面常常残留患者血液及其他体液等感染性污物和病原体，因此对手术器械进行彻底的清洗、消毒处理对于保证医疗工作人员和患者的手术安全性、杜绝医源性感染尤为关键[1]。清洗是通过物理或化学方法去除污染物品上的有机物、无机物和微生物，以达到比较安全的水平，表面无肉眼可视污物、血迹及锈迹[2]。复用医疗器械常分为管腔类、轴与关节类、普通类器械三种，不同的医疗器械清洗的难易程度不一，各种医疗器械应该有相应的针对性的清洗消毒方法。近年来各种报道的清洗消毒方法研究有许多，但多为针对一种医疗器械或两种医疗器械的清洗消毒方法分析，同时分析三种医疗器械的清洗消毒效果的报道很少。……