手工初洗加多酶机洗对眼科显微器械清洗效果的影响

目的 探讨不同清洗方法对眼科显微器械清洗效果的影响.方法 选择眼科手术后显微器械900件,按日期单双数随机分为实验组、对照1组及对照2组各300件,实验组采用手工初洗加多酶机洗,对照1组采用手工刷洗,对照2组采用多酶机洗,比较三组器械的清洗质量.结果 三组器械清洗后,目测法检查合格率均为100％;放大镜精细检测发现实验组、对照1组合格率为100％,对照2组合格率为96.3％;采用中国疾病预防控制中心推荐的ATP生物荧光测定法检测,实验组、对照1组合格率为99.7％,对照2组合格率为66.3％,实验组、对照1组清洗质量均优于对照2组,差异有统计学意义（P＜0.01）.结论 清洗方法与眼科显微器械清洁质量密切相关,采用手工初洗加多酶机洗的方法可有效保证清洗效果,有利于器械保养.

Impact of hand wash and multi-enzyme machine washable on the cleaning effect to ophthalmic microsurgical instruments

Objective To investigate the effects of different cleaning methods for cleaning ophthalmic microsurgical instruments.Methods We selected 900 pieces of ophthalmic microsurgical instruments,which were randomly divided into experimental group and control group Ⅰ and control group 2 by date of odd and even number （n=300）,hand scrub and multi-enzyme machine washable were used in the experimental group,the control group 1 used hand brushing,while multi-enzyme machine wash used in control group 2,then compare the quality of cleaning in the three groups.Results After cleaning equipment,by visual observation checking the passing rate was 100％ in the three groups; magnifier fine detected 100％ passing rate in the experimental group and the control group 1,while it was passing rate of 96.3％ in the control group 2; using ATP bioluminescence assay to detect,with a pass rate of 99.7％ in the experimental group and the control group 1,with a pass rate of 66.3％ in the control group 2,experimental group and the control group 1 were superior in cleaning quality than control group 2,while the experimental group was more obvious,the difference was statistically significant,P ＜ 0.01.Conclusion Hand scrub and multi-enzyme machine wash can ensure the cleaning effect effectively,which is conducive to equipment maintenance.