摘要
目的探讨软式内镜行环氧乙烷灭菌的纸塑袋包装方法。方法采用两种内镜纸塑袋包装方法(A组:用40 cm×60 cm×10 cm的立体纸塑袋,把内镜盘成40 cm的大小放入纸塑袋;B组:用尺寸25 cm×185 cm的纸塑袋,把内镜直接从插入部至操作部垂直装入纸塑袋),将消毒干燥完的内镜包装灭菌,比较两种包装方法的差异及操作人员偏好。结果共计720根软式内镜,包括260系列胃镜、肠镜、十二指肠镜,均为清洗、消毒、漂洗、干燥后打包,由2名工作人员操作完成,方法A与方法B各包装内镜360根。两组内镜灭菌后包内指示卡均完成变色,灭均后指示卡变色率均为100%。A组平均每根内镜包装时间(82.8±11.4)s,B组为(23.6±3.4)s,差异具有统计学意义(t=94.28,P<0.001);A组5个包装袋发生破裂,B组2个包装袋发生破裂,两组包装破洞率比较,差异无统计学意义(χ2=0.577,P=0.447)。结论对软式内镜灭菌时,选用25 cm×185 cm的长形纸塑袋包装方便、省时、省力,符合供应室的灭菌要求,在实际操作中值得推广使用。
Objective To evaluate packing methods of paper-plastic bag for ethylene oxide(EO)sterilization of flexible endoscopes.Methods Two packing methods of paper-plastic bag were adopted(group A:each endoscope was rolled up to the size of 40 cm,then put into a 40 cm×60 cm×10 cm three-dimensional bag;group B:each endoscope from insertion part to manipulation part was vertically put into a 25 cm×185 cm paper-plastic bag),endoscope package was sterilized after disinfected and dried,differences between two packing methods as well as the preference of persons who operated endoscope was compared respectively.Results A total of 720 flexible endoscopes(including gastroscope,enteroscope and duodenoscope)were packed by two persons after cleaned,disinfected,rinsed and dried,methods A and B each packed 360 endoscopes.After sterilization,the indicator strip in two groups all changed color(100%).The average packing time of each endoscope in group A was(82.8±11.4)seconds,and that in group B was(23.6±3.4)seconds,with a significant difference(t=94.28,P<0.001);five bags in group A and two bags in group B were broken,there was no significant difference between two groups(χ2=0.577,P=0.447).Conclusion For the sterilization of flexible endoscope,paper-plastic bag with size of 25 cm×185 cm is convenient,time-saving and labor-saving,which meets the sterilization requirements of central sterile supply department,and is worth to be promoted in practical process.
作者
朱胜军
蔡贤黎
王萍
朱博群
赵慧
ZHU Sheng-jun;CAI Xian-li;WANG Ping;ZHU Bo-qun;ZHAO Hui(Endoscopy Center and Endoscopy Research Institute,Zhongshan Hospital,Fudan University.Shanghai 200032,China)
出处
《中国感染控制杂志》
CAS
CSCD
北大核心
2020年第1期54-57,共4页
Chinese Journal of Infection Control
基金
上海市科学技术委员会科研计划项目（16DZ2280900）
关键词
软式内镜
环氧乙烷
纸塑袋
包装
flexible endoscope
ethylene oxide
paper-plastic bag
packing
