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目的:探讨影响内镜消毒灭菌效果的原因和改进措施。方法:把内镜清洗消毒灭菌效果分三个阶段进行研究,分别是执行卫生部有关内镜清洗消毒灭菌标准前、执行初期、执行成熟期,对2004年1月～2011年1月我院内镜中心使用后的泌尿内镜、胆道镜、纤支镜、胃镜、肠镜、十二指肠镜、小肠镜的消毒灭菌效果进行监测,根据监测结果总结可行的改进措施。结果:执行卫生部有关内镜清洗消毒灭菌标准前、执行初期、执行成熟期的内镜消毒灭菌合格率越来越高,特别是执行成熟期的各种内镜消毒灭菌合格率均达到100%。结论:不同阶段采取的消毒灭菌方法不同,出现的灭菌效果不同。内镜清洗消毒规范执行前及执行初期,内镜清洗消毒灭菌设施不齐全,内镜资源短缺,清洗不彻底,是造成消毒灭菌合格率低的主要原因。
Objective: To explore the reasons that affect the effect of endoscope disinfection and sterilization and the improvement measures. Methods: The endoscopic cleaning and disinfection effects in three stages of research, respectively, the implementation of the Ministry of Health before the endoscopic cleaning and disinfection sterilization standards, the implementation of the early, the implementation of maturity, from January 2004 to January 2011 I Endoscopic hospital center after use of urinary endoscopy, choledochoscopy, bronchoscopy, gastroscopy, colonoscopy, duodenoscopy, small bowel mirror disinfection and sterilization effects were monitored, based on the monitoring results to summarize possible improvements. Results: Before the implementation of the Ministry of Health standards for endoscopic cleaning and disinfection sterilization, the implementation of the early implementation of the endoscopic sterilization rate is higher and higher, especially the implementation of a variety of endoscopic sterilization rate are Reached 100%. Conclusion: The disinfection and sterilization methods adopted in different stages are different, and the sterilization effect is different. Endoscopic cleaning and disinfection before the implementation of norms and the implementation of the early endoscopic cleaning and disinfection sterilization facilities are not complete, lack of endoscopic resources, cleaning is not complete, is the main reason for the low pass rate of disinfection and sterilization.