云南省综合医院洁净手术室建设与管理现状
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熊辛

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R197.323

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云南省应用基础研究(昆医联合专项)项目(2015FB032)


Construction and management status of clean operating rooms of general hospitals in Yunnan Province
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    摘要:

    目的了解云南省洁净手术室建设管理现状及洁净手术室维护管理存在的问题,为卫生行政主管部门规范洁净手术室建设和使用管理提供依据。方法对全省135所二级及以上综合医院进行问卷调查,并对洁净手术室全面综合性能进行抽样检测。结果135所医院中有80.00%建设了洁净手术室,不同级别、不同开放床位数医院的洁净手术室构成比差异无统计学意义(P>0.05)。建设洁净手术室的医院中有81.48%设专人负责净化空调系统的日常维护,部分医院未按规范更换粗、中、高效过滤器,三级医院和二级医院在净化空调系统维护方面差异无统计学意义(P>0.05),92.45%的医院开展了沉降菌监测,37.96%的医院委托第三方机构开展了洁净手术室全面综合监测。34所医院的81间洁净手术室全面综合监测结果显示,8项检测指标全部合格的手术间数为0,三级医院和二级医院检测指标差异无统计学意义(P>0.05);更换过滤器组与未更换过滤器组的尘埃粒子计数指标差异有统计学意义(P<0.05)。结论云南省洁净手术室存在建设数量、洁净级别与医院规模及实际需求不符的情况,已建成的洁净手术室普遍存在维护管理不到位的问题,需要医院和各级卫生行政主管部门加强管理和监督,规范洁净手术室建设、维护和管理。

    Abstract:

    ObjectiveTo understand current situation of construction and management as well as problems existing in the maintenance and management of clean operating rooms in Yunnan Province, provide basis for health administration department to standardize the construction and use management of clean operating rooms. MethodsA total of 135 secondary and higher general hospitals in whole province were surveyed by questionnaires, comprehensive performance of clean operating rooms was sampled for detection. ResultsOf 135 hospitals, 80.00% have built clean operating rooms, there was no significant difference in the constituent ratios of clean operating rooms in hospitals of different levels and different number of beds (P>0.05). Clean operating rooms in 81.48% of hospitals had speciallyassigned persons to be responsible for daily maintenance of purification of airconditioning system, some hospitals didn’t replace primary, middle, and high efficiency filters as required, there was no significant difference in the maintenance of purification of air conditioning system between tertiary and secondary hospitals (P>0.05), 92.45% of hospitals carried out the monitoring of sediment bacteria, 37.96% of hospitals entrusted thirdparty agents to carry out comprehensive monitoring on clean operating rooms. Comprehensive monitoring results of 81 clean operating rooms in 34 hospitals showed that none were all qualified for 8 detected indexes, there was no significant difference in detection indexes between tertiary and secondary hospitals (P>0.05); there was significant difference in dust particle count between filter replacement group and nonreplacement group (P<0.05). ConclusionThere are discrepancies between No. of construction, cleanliness level of clean operating room, and hospital size as well as actual demand in Yunnan Province, maintenance and management in the established clean operating rooms is universally insufficient, it is necessary for hospitals and all levels of health administration departments strengthen management and supervision, standardize the construction, maintenance and management of clean operating rooms.

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引用本文

韩广营,陈松婷,茆尤尤,等.云南省综合医院洁净手术室建设与管理现状[J]. 中国感染控制杂志,2018,17(8):725-729. DOI:10.3969/j. issn.1671-9638.2018.08.015.
HAN Guangying, CHEN Songting, MAO Youyou, et al. Construction and management status of clean operating rooms of general hospitals in Yunnan Province[J]. Chin J Infect Control, 2018,17(8):725-729. DOI:10.3969/j. issn.1671-9638.2018.08.015.

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  • 收稿日期:2017-11-19
  • 最后修改日期:2017-12-03
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  • 在线发布日期: 2018-08-28
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