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目的对影响洁净手术室环境质量的若干因素进行分析,并探讨改进的措施。方法采用回顾性调查方法,对医院洁净手术室近几年环境细菌检测结果和手术切口感染发生率进行统计,对存在的问题及其原因进行分析。结果洁净手术室环境质量尚存在缺陷,主要表现在空气、物体表面、医护人员手的消毒质量不稳定,手术切口感染发生率较高等;其原因是手术室人员对医院感染认识程度参差不一,各项管理制度未能完全落实;术中人流、物流管理欠严格,导致空气污染严重;层流设施的日常维护工作未按规定落实,有重启用、轻效果的情况。结论加强手术室人员医院感染相关知识的培训,完善和落实各项管理制度,严格层流装置的维护管理,做好人流、物流优化管理是提高洁净手术室环境质量的有效措施。
Objective To analyze the factors that affect the environmental quality of clean operation room and to explore the measures for improvement. Methods A retrospective survey method was used to analyze the results of environmental bacteria detection and incidence of surgical incision infection in the clean operating room in the hospital in recent years, and the existing problems and their causes were analyzed. Results The operating room environmental quality is still flawed, mainly manifested in the air, the surface of the object, the quality of disinfection of the hands of medical staff is not stable, the incidence of surgical incision infection higher; the reason is that operating room staff awareness of hospital infection varies, The management system failed to be fully implemented; intraoperative flow of people and logistics management is not strict, leading to serious air pollution; the routine maintenance of laminar flow facilities failed to implement the provisions of the restart with the light effect of the situation. Conclusion It is an effective measure to improve the environmental quality of clean operating room by training the operating room personnel in knowledge of nosocomial infection, perfecting and implementing various management systems, and strictly maintaining and managing laminar flow installations.