摘要
目的分析医院无纺布包装的器械包在脉动真空压力蒸汽灭菌时产生湿包的原因，采取相应措施，减少湿包的产生。方法根据我院2007--2010年使用一次性无纺布包装器械包后产生106个灭菌湿包的原因记录，对器械包放置在灭菌器不同位置产生的87个湿包及因器械包的体积、重量、包装方法及环境因素等产生的19个湿包进行分类，分析湿包产生的可能原因，提出控制对策。结果87个灭菌湿包24．2％为灭菌器故障所致，40．2％是器械的结构特点或包装器具的缺陷所致，35．6％是灭菌装载上存在缺陷所致。19个湿包中78．9％是因包的体积、重量和包装方法的缺陷所致，21．1％是因环境因素所致。结论加强灭菌器的监测和保养，提高工作人员的责任心，规范器械包的包装方式，重视可导致湿包的环境因素，采取有效措施，降低湿包发生率。
Objective To analyse the causes of wet packets among instruments sets packed by nonwoven fabrics after pulsing vacuum pressure steam sterilization in our hospital and then take measures to reduce the production of wet packets. Methods According to the recorded causes of 106 wet packets among instruments sets packed by disposable non-woven fabrics after sterilization in the recent 4 years in our hospital, 87 wet packets caused by placing instruments sets in different locations of sterilizer and 19 wet packets caused by factors such as volume, weight and packing method of instruments sets as well as environmental factors, the wet packets were classified and the underlying causes of wet packets were analysed and solutions for improving this situation were raised. Results Among 87 wet packets, 24.2% were caused by the malfunction of sterilizer, 40.2% were caused by the structural features of instruments or defects in packed medical appliances and 35. 6% by the defects in the loading of sterilization. While among 19 wet packets, 78.9% were caused by the volume, weight of instruments sets and defects in the packing method and 21.1% by environmental factors. Conclusions We should strengthen the monitoring and maintenance of sterilizer, improve the sense of responsibility of relevant staff, standardize the packing method of instruments sets and pay attention to the environmental factors which will contribute to the production of wet packets. Then we can take effective measures and finally reduce the incidence rate of wet packets.
出处
《中华现代护理杂志》
2012年第14期1668-1670,共3页
Chinese Journal of Modern Nursing
关键词
灭菌
无纺布
器械包
压力蒸汽
湿包
Sterilization
Non-woven fabrics
Instruments sets packed
Pressure steam
Wet packets
作者简介
通信作者：常香远，Email：sz_xu67@tom．com
