广东省69所医院腹腔镜清洗现状的调查

目的了解广东省医院腹腔镜清洗管理现状,为进一步规范腹腔镜清洗管理提供依据。方法采用实地考察、问卷及电话调查方式,对广东省69所医院腹腔镜清洗管理情况进行了调查。结果62所医院使用多酶清洗剂,其中4所浸泡1套后即更换,13所每天更换2次,28所每天更换1次,16所每2～3天更换1次,1所更换时间最长为1周。三级与二级医院间多酶清洗剂的更换频度差异有统计学意义（P〈0．05）;术中的清洗方法之间差异无统计学意义（P〉0．05）,术后清洗方法差异有统计学意义（P〈0．05）。结论广东省不同级别医院腹腔镜清洗设施配置尚不足,未能重视术中的有效清洗,术后的多酶或超声清洗执行力需提高。

Investigation on current situation of surgical laparoscopic instruments cleaning in 69 hospitals in Guangdong province

Objective To investigate the present situation of cleaning of surgical laparoscopic instruments in hospitals in Guangdong province, so as to provide a basis for standardized management of laparoscopic Cleaning. Methods A total of 69 hospitals in Guangdong province were investigated using on-thespot investigation, questionnaire and Telephone Survey. Results Sixty two hospitals utilized multi-enzyme abluent, among them there were 4 hospitals changed multi-enzyme abluent soak solution after every cleaning of instruments, and 13 hospitals changed multi-enzyme abluent soak solution twice per day, sixteen hospitals changed multi-enzyme abluent soak every two or three days, one hospital changed soak solution every week. The changing times between second class hospitals and third class hospitals were different(P＜0. 05 ). The cleaning methods during operation were no difference( P ＞ 0. 05 ), but the postoperative cleaning methods were difference (P ＜ 0. 05). Conclusions In different class hospitals of Guangdong provinces, Laparoscopic washing facilities is not sufficient. Cleaning during operation and postoperative multi-enzyme or ultrasonic cleaning execution need to be imporoved.