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[目的]了解大连市医院使用的胃镜和肠镜消毒现状,进一步规范消毒操作方法,提高消毒质量。[方法]2007~2008年对大连市17所二级以上医疗机构的胃镜、肠镜进行消毒效果检测。[结果]2007~2008年合计检测胃、肠镜内腔64件,细菌总数合格率为68.75%,其中胃镜合格率为73.47%,肠镜合格率为53.33%(P>0.05)。检测内镜活检口27件,细菌总数合格率为70.37%,其中胃镜活检口合格率为89.47%,肠镜活检口合格率为2/8(P=0.002)。检测使用中的内镜消毒剂戊二醛有效含量24件,合格率为87.50%;测定8件样品的消毒剂染菌量,全部达到标准。[结论]大连市部分医院胃镜和肠镜消毒效果不佳,消毒剂的使用存在问题。
[Objective] To understand the current situation of endoscopy and colonoscope disinfection in hospitals in Dalian City, further standardize the disinfection operation method and improve the disinfection quality. [Method] From 2007 to 2008, the disinfection effects of gastroscopy and colonoscopy in 17 medical institutions above the second level in Dalian City were tested. [Results] The total number of bacteria and bacteria in the stomach and colonoscopy were 64 and 67.75% respectively from 2007 to 2008, of which gastroscopy qualified rate was 73.47% and colonoscopy qualified rate was 53.33% (P> 0.05). The detection rate of endoscopic biopsy port was 27, the total qualified rate of bacteria was 70.37%. The pass rate of endoscopic biopsy was 89.47%, and the pass rate of enteroscopy biopsy was 2/8 (P = 0.002). Testing the use of endoscopic disinfectant glutaraldehyde content of 24, the pass rate was 87.50%; Determination of eight samples of disinfectant bacteria, all up to the standard. [Conclusion] The gastroscopy and colonoscopy disinfection in some hospitals in Dalian is ineffective, and the use of disinfectants has some problems.