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应用不同吸水材料预防手术器械湿包效果的研究

林素英 徐金芳 俞巧娣 郁葵 程海霞 张一 张丽 朱红梅 徐静娟 马华 戴亚芬   

  1. 常州市第一人民医院消毒供应中心,213003 江苏省(林素英,徐金芳,俞巧娣,郁葵,张丽,朱红梅,马华,戴亚芬);临床药物试用办公室(程海霞);神经外科(张一);护理部(徐静娟)
  • 出版日期:2017-04-25 发布日期:2017-04-25
  • 基金资助:
    2013年常州市卫生局科研项目(KY201340)

The effect of different absorb moisture materials on wet surgical equipment package

  • Online:2017-04-25 Published:2017-04-25

摘要: 目的:观察不同吸水材料对手术器械湿包的控制成效,提高手术器械无菌包质量。方法:将剖腹手术器械920包次随机分成8组,观察分别用棉布或无纺布外包装,包内吸水材料分别采用单层棉布、双层棉布、特制纱布垫、一次性医用吸水纸的手术器械压力蒸汽灭菌后湿包情况。结果:棉布或无纺布包装包内采用双层棉布湿包率分别为10.4%和20.0%,两组存在统计学差异(P<0.05);棉布或无纺布包装包内采用特制纱布垫湿包率分别为8.7%和31.3%,两组存在统计学差异(P<0.01);棉布包装包内采用单层棉布、双层棉布湿包率分别为24.3%、10.4%,存在统计学差异(P<0.05);棉布包装包内采用单层棉布、特制纱布垫湿包率存在统计学差异(P<0.05)。结论:包内采用相同吸水材料时,双层棉布或特制纱布垫组采用棉布包装湿包率低于无纺布;包内采用不同吸水材料时,单层棉布、特制纱布垫组分别在棉布、无纺布包装中湿包率最高。

Abstract: Objective: To explore the effect of different absorb moisture materials on the wet surgical equipment package and to improve the sterility quality of surgical equipment package. Methods: Using random classification method, we observed 920 surgical instrument packages with different packaging materials, including single-layer cotton, double-layer cotton, special gauze absorbent pad and disposable medical absorbent paper. After the pressure steam sterilization process, we compared the incidence of wet packages. Results: The wet package rates of double-layer cotton in cotton or non-woven packaging were 10.4% and 20.0%, respectively, which was significantly different (P<0.05). The wet package rates of special gauze absorbent pad in cotton or non-woven packaging were 8.7% and 31.3%, respectively, which was significantly different (P<0.01). When using cotton as the outer package, the wet package rates of double-layer cotton and single-layer cotton were 10.4% and 24.3%, respectively, which was significantly different (P<0.05). When using cotton as the outer package, the wet package rates of special gauze absorbent pad and single-layer cotton had significantly different (P<0.05). Conclusion: When using the same absorbent material, the incidence of wet packages in cotton with double-layer cotton or special gauze absorbent pad were lower than that of non-woven packaging. When using different absorbent materials, single-layer cotton as the outer packaging and special gauze absorbent pad had the highest incidence of wet package in cotton and in non-woven packaging, respectively.