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目的了解医疗机构血液透析室消毒管理现状,以便加强对血液透析消毒质量的管理。方法通过问卷调查和抽样检测的方法,对鞍山市辖区内9所医院的血液透析室进行调查。结果在调查的9所医院血液透析室中,有3所医院血液透析室建筑布局不合理,部分血液透析室专业人员配备不足或缺位。少数医院血液透析室不进行透析用水和透析液中内毒素及化学污染物监测。透析用水和透析液质量合格率平均为86.49%,浓缩A液平均合格率为100%,但浓缩B液平均合格率仅为72.73%。使用中入口透析液平均合格率为82.50%、出口透析液平均合格率为87.50%。结论鞍山市部分医疗机构血液透析室消毒管理存在问题,应加强血液透析室消毒隔离,确保血液透析安全。
Objective To understand the current status of disinfection management in hemodialysis rooms in medical institutions in order to strengthen the management of hemodialysis disinfection quality. Methods The questionnaire survey and sampling method were used to investigate the hemodialysis rooms in 9 hospitals in Anshan City. Results In the 9 hospital hemodialysis rooms surveyed, there were 3 hospital hemodialysis rooms with unreasonable architectural layouts and some of the hemodialysis room professionals were under-equipped or absent. A small number of hospital hemodialysis units do not dialysis water and dialysis fluid endotoxin and chemical contaminants monitoring. The qualified rate of dialysis water and dialysis liquid was 86.49% on average, the average pass rate of concentrated liquid A was 100%, but the average pass rate of concentrated liquid B was only 72.73%. In use, the average pass rate of dialysis fluid was 82.50%, and the average pass rate of dialysis fluid was 87.50%. Conclusion There are some problems in the disinfection management of hemodialysis room in some medical institutions in Anshan City. Sterilization and isolation of hemodialysis room should be strengthened to ensure the safety of hemodialysis.