一种水平储镜柜在软式内镜存储中的应用效果分析

Application effect analysis of a horizontal endoscope storage cabinet in storage of flexible endoscopes

摘要:

目的 比较两种储镜方式在软式内镜存储中的应用效果，以探索适合的软式内镜储存条件。方法 采用单纯随机抽样的方法，选取2019年1月－2020年1月该院内镜中心500条软式内镜进行实验研究，并结合《软式内镜清洗消毒技术规范（WS 507-2016）》的相关条件要求，观察组内镜放置于新型水平储镜柜中，对照组内镜垂直放置于传统储镜柜中，比较两种不同储存方式对软式内镜细菌菌落数、质量合格率和故障率的影响。结果 储镜2 h，观察组和对照组软式内镜细菌菌落数分别为（10.27±2.22）和（13.18±1.33）cfu/件，差异无统计学意义（P > 0.05）；储镜72 h，观察组软式内镜细菌菌落数为（14.75±2.00）cfu/件，明显低于对照组的（223.28±17.07）cfu/件，差异有统计学意义（P < 0.05）；两组软式内镜故障发生率比较，差异无统计学意义（P > 0.05）；观察组软式内镜预清洗所需的耗材成本和人力成本明显低于对照组，差异均有统计学意义（P < 0.05）。结论 使用新型水平储镜柜存储软式内镜，存储质量优于垂直放置的传统储镜柜，还可免去每天的预清洗，大大地节省了时间，保障了患者安全，降低了运营成本，是值得临床推荐使用的内镜储存方式。

Abstract:

Objective To explore the influence of different storage methods on flexible endoscope.Methods 500 compliant soft endoscopes in the endoscopy center of our hospital from January 2019 to January 2020 were selected as research objects. The endoscopes of the observation group were placed horizontally in the storage cabinet, while those of the control group were placed vertically in the storage cabinet. The effects of the two storage methods on bacterial colony number, quality qualified rate and quality of soft endoscopes were compared.Results The study found that the number of bacterial colonies in the flexible endoscope in the 2 h storage of the observation group was (10.27 ± 2.22) cfu/piece and the control group was (13.18 ± 1.33) cfu/piece, and the difference was not statistically significant (P > 0.05); The number of bacterial colonies in the flexible endoscope in the 72 h of the observation group was (14.75 ± 2.00) cfu/piece, and the control group was (223.28 ± 17.07) cfu/piece, and the difference was statistically significant (P < 0.05). The observed cost of consumables and labor were obliviously lower than those of the control group, there was statistical significance (P < 0.05).Conclusion The flexible endoscope is placed horizontally in the designated storage cabinet, which can eliminate the daily morning pre-cleaning within 72 h, and will not increase the damage rate of endoscope. It is a clinically recommended storage method for endoscopes.