主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2026, Vol. 26 ›› Issue (6): 884-889.doi: 10.3969/j.issn.1672-1756.2026.06.016

• 护理质量 • 上一篇    下一篇

全国2 377所医院复用医疗器械预处理现况调查

康洁 张青 李保华 李彦琼 乔赛男 赵晓燕   

  1. 北京大学肿瘤医院暨北京市肿瘤防治研究所消毒供应中心,恶性肿瘤发病机制及转化研究教育部重点实验室,100142 北京市(康洁);中国医学科学院北京协和医院消毒供应中心(张青);首都医科大学北京朝阳医院消毒供应中心(李保华);云南省第一人民医院消毒供应中心(李彦琼);清华大学北京清华长庚医院消毒供应中心(乔赛男);中华护理学会(赵晓燕)
  • 出版日期:2026-06-15 发布日期:2026-06-15
  • 通讯作者: 张青,本科,主任护师,护士长,E-mail:zhangqing9191@163.com;李保华,本科,主任护师,护士长,E-mail:13521202831@163.com
  • 作者简介:康洁,本科,副主任护师,护士长

Survey on the current status of pre-treatment of reusable medical devices in 2377 hospitals in China

KANG Jie, ZHANG Qing, LI Baohua, LI Yanqiong, QIAO Sainan, ZHAO Xiaoyan   

  1. Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Central Sterile Supply Department, Peking University Cancer Hospital & Institute, Beijing, 100142, China
  • Online:2026-06-15 Published:2026-06-15
  • Contact: E-mail:zhangqing9191@163.com;E-mail:13521202831@163.com

摘要: 目的:调查全国医院复用医疗器械预处理现状,为医院消毒供应中心感染控制的相关政策、标准修订提供科学依据。方法:采取便利抽样法,于2025年5月13日—29日,选取全国31个省份的2 377所医院为调查单位,依据医院消毒供应中心相关标准或规范要求设计问卷,对各级医院复用医疗器械预处理现状进行调查分析。结果:68.91%的医院消毒供应中心建立预处理标准化操作流程;68.53%的医院消毒供应中心对管腔器械进行灌注预处理;45.77%的医院会针对使用后≥1 h未进入消毒供应中心的器械进行保湿处理;78.63%的医院临床科室、88.35%的医院手术室对使用后器械进行预处理;59.44%的医院临床科室、68.24%的医院手术室对传染病患者使用后的复用器械进行现场预处理。结论:医院复用医疗器械预处理总体执行程度有待提高,应加强预处理的制度管理、人员培训及风险意识,建立操作流程及场所,为医院灭菌质量提供保障。

关键词: 消毒供应中心;医疗器械;预处理;现状;调查

Abstract: Objective: To investigate the current status of the pre-treatment of reusable medical devices in hospitals in China, providing a scientific basis for the revision of relevant policies and standards for infection control in Central Sterile Supply Department (CSSD). Methods: From May 13 to 29, 2025, 2377 hospitals across 31 provinces in China were selected as the research subjects by using convenience sampling method. A questionnaire was designed based on the requirements of relevant standards for CSSD to investigate and analyze the pre-treatment status of reusable medical devices in hospitals of various levels. Results: Among the 2377 hospitals surveyed, 68.91% of CSSDs had established standardized operating procedures for pre-treatment; 45.77% of hospitals applied moisturizing treatment for devices that do not enter the CSSD within 1 hour after use; 78.63% of clinical departments and 88.35% of operating rooms performed pre-treatment on instruments after use; 59.44% of clinical departments and 68.24% of operating rooms performed on-site pre-treatment for reusable devices used by patients with infectious diseases. Conclusion: The overall execution level of reusable medical device pre-treatment in Chinese hospitals needs improvement. It is essential to strengthen institutional management, personnel training, and risk awareness, and establish operating procedures and dedicated facilities to provide a guarantee for hospital sterilization quality.

Key words: Central Sterile Supply Department; medical devices; pre-treatment; current status; survey

中图分类号:  R47;R197