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浙江大学学报（医学版）
浙江大学学报（医学版）  2020, Vol. 49 Issue (5): 609-613    DOI: 10.3785/j.issn.1008-9292.2020.10.10
2019冠状病毒病     
医用护目镜三种清洗方法比较
王群(),莫军军*(),黄芳,蒲瑛,吕蓓
浙江大学医学院附属第一医院消毒供应中心, 浙江 杭州 310003
Comparison of three medical goggle sterilizing approaches
WANG Qun(),MO Junjun*(),HUANG Fang,PU Ying,LYU Bei
Central Sterile Supply Department, the First Affiliated Hospital, Zhejiang University School of Medical, Hangzhou 310003, China
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摘要：

目的: 探讨医用护目镜复用处理的有效清洗方法。方法: 抽取浙江大学医学院附属第一医院同一品牌、同一型号的医用护目镜180件，随机分成A、B、C三组，每组60件。A组采用2000 mg/L的含氯消毒剂浸泡后手工清洗；B组采用全自动喷淋式清洗消毒机清洗，90℃下消毒5 min；C组采用全自动喷淋式清洗消毒机清洗，70℃下消毒30 min。对清洗后的医用护目镜分别进行带光源放大镜目测、残留蛋白检测，并对医用护目镜处理后清洁度、镜面清晰度和松紧带合适度进行问卷调查。结果: 带光源放大镜目测法检查护目镜清洗质量，A、B、C三组合格率分别为82.4%、84.6%和98.3%，C组合格率均优于A组和B组（均P<0.05），A组与B组合格率差异无统计学意义（P>0.05）。蛋白清洗测试棒检测护目镜残留蛋白，A、B、C三组合格率分别为96.7%、100.0%和100.0%，三组差异无统计学意义（P>0.05）。共收到54份调查问卷，护目镜清洁度、镜面清晰度、松紧带合适度满意率分别为100.0%、90.7%和94.4%。结论: 医用护目镜采用机械清洗，选择70℃下消毒30 min清洗效果较优，清洗合格率较高，使用者体验良好。
关键词： 2019冠状病毒病;  严重急性呼吸综合征冠状病毒2;  医用护目镜;  清洗;  消毒;  满意度    
Abstract:

Objective: To compare three sterilizing methods for reusable medical goggles. Method: A total of 180 medical goggles of the same brand and same model were randomly divided into three groups. In group A the goggles were first soaked with 2000 mg/L chlorine-containing disinfectant and then cleaned manually; goggles in other two groups were sterilized using pre-programmed automatic spray cleaning and disinfection machine, the disinfection program was set to 90 ℃ for 5 min in group B and 70 ℃ for 30 min in group C. The quality of the sterilization was monitored by visual inspection with luminous magnifying glass and residual protein detection assay. User satisfaction on cleanliness of medical goggles, clarity of mirror surface and suitability of elastic bands was investigated with questionnaire survey. Results: The qualification rates verified by visual inspection were 82.4%, 84.6%and 98.3%in group A, B and C, respectively, the qualification rate in group C was significantly higher than those in group B and group C (all P < 0.05). The qualification rates verified by residual protein detection assay were 96.7%, 100.0%and 100.0%in group A, B and C, respectively (P>0.05). A total of 54 questionnaires were submitted for the survey. The satisfaction rates were 100.0%, 90.7%and 94.4% for cleanliness of medical goggles, clarity of mirror surface and suitability of elastic bands, respectively. Conclusion: Machinery sterilization set 70 ℃ for 30 min has better cleaning and sterilizing effects for reusable medical goggles.
Key words: Coronavirus disease 2019    Severe acute respiratory syndrome coronavirus 2    Medical goggle    Cleaning    Sterilization    Satisfaction degree
收稿日期: 2020-03-13 出版日期: 2020-11-19
:  R472.1  
基金资助: 浙江省重点研究计划应急攻关项目(2020C03123-07)
通讯作者: 莫军军     E-mail: 1148364296@qq.com;mojunjunshou@163.com
作者简介: 王群(1966-), 女, 学士, 主管护师, 主要从事护理和消毒灭菌工作; E-mail:1148364296@qq.com; https://orcid.org/0000-0001-6151-8450
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引用本文:

王群,莫军军,黄芳,蒲瑛,吕蓓. 医用护目镜三种清洗方法比较[J]. 浙江大学学报（医学版）, 2020, 49(5): 609-613.

WANG Qun,MO Junjun,HUANG Fang,PU Ying,LYU Bei. Comparison of three medical goggle sterilizing approaches. J Zhejiang Univ (Med Sci), 2020, 49(5): 609-613.

链接本文:

http://www.zjujournals.com/med/CN/10.3785/j.issn.1008-9292.2020.10.10    或    http://www.zjujournals.com/med/CN/Y2020/V49/I5/609

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