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目的:探讨消毒供应室蒸汽灭菌后产生湿包的原因与管理对策。方法:研究我院2015年1月至2016年6月期间消毒供应室蒸汽灭菌湿包所形成的原因以及各比例,分析其对应的管控措施与效果。结果:湿包原因中,装载不规范为33.53%,蒸汽质量为24.28%,灭菌设备问题为16.76%,包装为13.29%,潮湿为12.14%;管控措施前后湿包率上,管控前为2.40%,管控后为0.71%,组间差异具有统计学意义,p<0.05。结论:消毒供应室蒸汽灭菌后产生湿包的原因多样,需要充分发现所有问题,做好应对管控处理,才能有效的控制湿包率。
Objective: To discuss the reason and management countermeasure of steaming sterilization package in disinfection supply room. Methods: To study the causes and proportions of steam sterilized wet packs in our hospital from January 2015 to June 2016, and to analyze the corresponding control measures and effects. Results: The causes of wet packs were 33.53% for non-standard loading, 24.28% for steam quality, 16.76% for sterilizing equipment, 13.29% for packaging and 12.14% for wet packing. Before and after the control measures, the wet packing ratio was 2.40 %, 0.71% after the control, the difference between the groups was statistically significant, p <0.05. Conclusion: There are many reasons for producing wet packs after steam sterilizing the supply room. It is necessary to find out all the problems and to deal with the management and control in order to effectively control the wet pack rate.