堿性清洗劑運(yùn)用于燒傷換藥碗預(yù)處理的效果觀察

摘要：目的 探討使用堿性清洗劑對(duì)燒傷換藥碗進(jìn)行預(yù)處理，對(duì)于提高清洗質(zhì)量的作用。方法 挑選污染程度相近的燒傷科換藥碗800個(gè)，隨機(jī)分為兩組，每組400個(gè)。實(shí)驗(yàn)組將燒傷換藥碗放入按1：200 （水溫45℃）配置好的堿性清洗器溶液中浸泡10 min，用常水沖洗后機(jī)器清洗。對(duì)照組將換藥碗放入按1：200 （水溫45℃）配置好的多酶清洗劑溶液中浸泡10 min，用常水沖洗后機(jī)器淸洗。比較兩種預(yù)處理方法的清洗合格率。結(jié)果 實(shí)驗(yàn)組合格率為99%，對(duì)照組合格率為79.95%，兩組比較P<0.05 ，差異具有統(tǒng)計(jì)學(xué)意義。結(jié)論 堿性清洗劑對(duì)于燒傷科換藥碗這類油脂、血漬污染嚴(yán)重的器械，預(yù)處理效果較好，能達(dá)到提高清洗質(zhì)量的目的。

關(guān)鍵詞：燒傷換藥碗；堿性清洗劑；預(yù)處理；清洗質(zhì)量

Abstract：Objective To investigate the use of alkaline cleaner burn dressing bowl pretreatment for improving the quality of the cleaning effect. Methods In order to select the 800 groups with similar pollution degree， were randomly divided into two groups， each group had 400.The experimental group will burn dressing into the bowl of 1： 200 （water temperature is 45 ℃） configured alkaline cleaner machine wash solution soak for 10 minutes， after washing with water often. The control group dressing bowl into the 1：200 （water temperature is 45 ℃） configured multi-enzyme detergent solution soak for 10 minutes， rinse with water after Chang Qing washing machine. Cleaning pass rate results compare two pretreatment methods.Results The experimental combination rate was 99%， and the control group was 79.95%. The two groups were compared with P<0.05 ，The difference was statistically significant.Conclusion Alkaline cleaner burn unit for this type of oil dressing bowl， severe blood stains contaminated equipment， pretreatment effect is better able to improve the quality of cleaning purposes.

Key words：Burn dressing bowl；Alkaline cleaner；Pretreatment；Cleaning quality

控制醫(yī)院感染是提高醫(yī)療質(zhì)量的一項(xiàng)重要措施，同時(shí)也是保證患者安全、維護(hù)醫(yī)務(wù)人員職業(yè)健康的一項(xiàng)重要工作[1]。污染的醫(yī)療器械的清洗消毒是滅菌前期必須進(jìn)行的重要工作，是確保滅菌效果的關(guān)鍵環(huán)節(jié)。醫(yī)療器械上任何有機(jī)物的存在，都會(huì)起到保護(hù)微生物的作用，從而影響消毒滅菌效果[2]徹底的清洗可以將器械表面的微生物降低103～104 cfu/m2[3]。我院燒傷科創(chuàng)面換藥多采用自制磺胺嘧啶銀膏劑或蛋黃油、凡士林油紗，加之燒傷患者創(chuàng)面大，膿痂、血痂較多，創(chuàng)面污染嚴(yán)重，感染的菌株較復(fù)雜，多重耐藥菌感染呈逐年上升趨勢(shì)。因此，換藥時(shí)，大量油污、血漬附著在換藥碗表面，難以清洗。釆用常規(guī)清洗劑進(jìn)行預(yù)處理，進(jìn)入自動(dòng)噴淋式清洗機(jī)清洗后，換藥碗上易殘留白斑及血污，導(dǎo)致清洗不合格，返洗率高，嚴(yán)重影響了工作效率及滅菌質(zhì)量。……