CN107198784A - 一种i级洁净手术室消毒方法 - Google Patents
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Abstract
一种I级洁净手术室消毒方法，包括清扫手术室，清扫完毕后，在密闭环境中对手术室喷洒消毒剂，开启手术室紫外线灭菌灯照射，开启手术室空调系统换风功能，对手术室内空气进行更换步骤。通过先对手术室内地面及墙壁喷洒乙醇，再用含有臭氧的氮气进行吹干，对手术室进行初次消毒，初次消毒后用专用消毒剂进行二次消毒，二次消毒结束后用紫外线灭菌灯照射杀死残留的病毒，各步骤中通过控制手术室内温、湿度，降低细菌、病毒活性，提高杀毒效果，通过本发明的消毒方法对手术室消毒后并进行检测各项指标符合I级洁净手术室要求。
Description
技术领域
本发明涉及手术室消毒净化技术领域，具体涉及一种I级洁净手术室消毒方法。
背景技术
手术室(operating room英文简称o.r)是为病人提供手术及抢救的场所，是医院的重要技术部门。手术室应与手术科室相接连，还要与血库、监护室、麻醉复苏室等临近。抓好手术切口感染四条途径的环节管理，即：手术室的空气；手术所需的物品；医生护士的手指及病人的皮肤，防止感染，确保手术成功率。要求设计合理，设备齐全，护士工作反应灵敏、快捷，有高效的工作效率。手术室要有一套严格合理的规章制度和无菌操作规范。随着外科技术飞速发展，手术室工作日趋现代化。
按手术有菌或无菌的程度，手术室可划分成以下5类：
(1)Ⅰ级手术室：即无菌净化手术室，主要接受颅脑、心脏、脏器移植等手术。
(2)Ⅱ级手术室：即无菌手术室，主要接受脾切除手术、闭合性骨折切开复位术、眼内手术、甲状腺切除术等无菌手术。
(3)Ⅲ级手术室：既有菌手术室，接受胃、胆囊、肝、阑尾、肾、肺等
部位的手术。
(4)Ⅳ级手术室：即感染手术室，主要接受阑尾穿孔腹膜炎手术、结核性脓肿、脓肿切开引流等手术。
(5)Ⅴ级手术室：即特殊感染手术室，主要接受绿脓杆菌、气性坏疽杆菌、破伤风杆菌等感染的手术。
但是现有很多医院缺少针对Ⅰ级手术室系统的消毒方法，消毒后常常出现细菌、病毒超标以致无法按时正常进行手术或者手术后出现伤口感染等情况。
发明内容
本发明所要解决的技术问题是提供一种I级洁净手术室消毒方法，用以快速降低I级洁净手术室中细菌、病毒及悬浮粒子数。
本发明所要解决的技术问题采用以下的技术方案来实现：
一种I级洁净手术室消毒方法，包括以下步骤：
(1)清扫手术室，先用乙醇喷洒地面及墙壁，再用含有臭氧的氮气对地面及墙壁进行吹干；
(2)清扫完毕后，在密闭环境中对手术室喷洒消毒剂；
(3)喷洒消毒剂10-15min后开启手术室紫外线灭菌灯照射20～30min，紫外线灭菌灯紫外光源波长为250～255nm，紫外强度不低于80μW/cm2，照射过程中保持手术室内空气流动；
(4)开启手术室空调系统换风功能，对手术室内空气进行更换。
所述步骤(1)中清扫手术室控制手术室内温度15～20℃，湿度70～80％。
所述步骤(1)中臭氧与氮气的质量比为1：(10～15)。
所述步骤(2)中手术室室内温度控制在20～23℃，湿度控制在20～30％。
所述步骤(2)中的消毒剂由以下重量份的原料组成：
乙醇18-20份、次氯酸钠5-8份、芦荟提取液2-5份、成核剂3-6份、杀毒剂2-4份、蒸馏水20-25份。
所述杀毒剂由二氧化氯和三氯异氰尿酸钠按1:1.5重量份组成。
所述步骤(3)中手术室室内温度控制在40～45℃，湿度控制在40～50％。
所述步骤(3)中紫外线灭菌灯在照射过程中功率逐渐升高。
所述步骤(3)中紫外线灭菌灯照射时每立方米空间用量＞130W。
本发明的有益效果为：通过先对手术室内地面及墙壁喷洒乙醇，再用含有臭氧的氮气进行吹干，对手术室进行初次消毒，初次消毒后用专用消毒剂进行二次消毒，二次消毒结束后用紫外线灭菌灯照射杀死残留的病毒，各步骤中通过控制手术室内温、湿度，降低细菌、病毒活性，提高杀毒效果，通过本发明的消毒方法对手术室消毒后并进行检测各项指标符合I级洁净手术室要求。
具体实施方式
为了使本发明实现的技术手段、创作特征、达成目的与功效易于明白了解，下面结合实施例，进一步阐述本发明。
实施例1
一种I级洁净手术室消毒方法，包括以下步骤：
(1)清扫手术室，先用乙醇喷洒地面及墙壁，再用含有臭氧的氮气对地面及墙壁进行吹干；
(2)清扫完毕后，在密闭环境中对手术室喷洒消毒剂；
(3)喷洒消毒剂10min后开启手术室紫外线灭菌灯照射20min，紫外线灭菌灯紫外光源波长为250nm，紫外强度不低于80μW/cm2，照射过程中保持手术室内空气流动；
(4)开启手术室空调系统换风功能，对手术室内空气进行更换。
所述步骤(1)中清扫手术室控制手术室内温度15℃，湿度70％。
所述步骤(1)中臭氧与氮气的质量比为1：10。
所述步骤(2)中手术室室内温度控制在20℃，湿度控制在20％。
所述步骤(2)中的消毒剂由以下重量份的原料组成：
乙醇18份、次氯酸钠5份、芦荟提取液2份、成核剂3份、杀毒剂2份、蒸馏水20份。
所述杀毒剂由二氧化氯和三氯异氰尿酸钠按1:1.5重量份组成。
所述步骤(3)中手术室室内温度控制在40℃，湿度控制在40％。
所述步骤(3)中紫外线灭菌灯在照射过程中功率逐渐升高。
所述步骤(3)中紫外线灭菌灯照射时每立方米空间用量＞130W。
实施例2
一种I级洁净手术室消毒方法，包括以下步骤：
(1)清扫手术室，先用乙醇喷洒地面及墙壁，再用含有臭氧的氮气对地面及墙壁进行吹干；
(2)清扫完毕后，在密闭环境中对手术室喷洒消毒剂；
(3)喷洒消毒剂13min后开启手术室紫外线灭菌灯照射25min，紫外线灭菌灯紫外光源波长为253nm，紫外强度不低于80μW/cm2，照射过程中保持手术室内空气流动；
(4)开启手术室空调系统换风功能，对手术室内空气进行更换。
所述步骤(1)中清扫手术室控制手术室内温度18℃，湿度75％。
所述步骤(1)中臭氧与氮气的质量比为1：13。
所述步骤(2)中手术室室内温度控制在22℃，湿度控制在25％。
所述步骤(2)中的消毒剂由以下重量份的原料组成：
乙醇19份、次氯酸钠7份、芦荟提取液3份、成核剂4份、杀毒剂3份、蒸馏水23份。
所述杀毒剂由二氧化氯和三氯异氰尿酸钠按1:1.5重量份组成。
所述步骤(3)中手术室室内温度控制在43℃，湿度控制在45％。
所述步骤(3)中紫外线灭菌灯在照射过程中功率逐渐升高。
所述步骤(3)中紫外线灭菌灯照射时每立方米空间用量＞130W。
实施例3
一种I级洁净手术室消毒方法，包括以下步骤：
(1)清扫手术室，先用乙醇喷洒地面及墙壁，再用含有臭氧的氮气对地面及墙壁进行吹干；
(2)清扫完毕后，在密闭环境中对手术室喷洒消毒剂；
(3)喷洒消毒剂15min后开启手术室紫外线灭菌灯照射30min，紫外线灭菌灯紫外光源波长为255nm，紫外强度不低于80μW/cm2，照射过程中保持手术室内空气流动；
(4)开启手术室空调系统换风功能，对手术室内空气进行更换。
所述步骤(1)中清扫手术室控制手术室内温度20℃，湿度80％。
所述步骤(1)中臭氧与氮气的质量比为1：15。
所述步骤(2)中手术室室内温度控制在23℃，湿度控制在30％。
所述步骤(2)中的消毒剂由以下重量份的原料组成：
乙醇20份、次氯酸钠8份、芦荟提取液5份、成核剂6份、杀毒剂4份、蒸馏水25份。
所述杀毒剂由二氧化氯和三氯异氰尿酸钠按1:1.5重量份组成。
所述步骤(3)中手术室室内温度控制在45℃，湿度控制在50％。
所述步骤(3)中紫外线灭菌灯在照射过程中功率逐渐升高。
所述步骤(3)中紫外线灭菌灯照射时每立方米空间用量＞130W。
以上显示和描述了本发明的基本原理、主要特征和本发明的优点。本行业的技术人员应该了解，本发明不受上述实施例的限制，上述实施例和说明书中描述的仅为本发明的优选例，并不用来限制本发明，在不脱离本发明精神和范围的前提下，本发明还会有各种变化和改进，这些变化和改进都落入要求保护的本发明范围内。本发明要求保护范围由所附的权利要求书及其等效物界定。
Claims (9)
1.一种I级洁净手术室消毒方法，包括以下步骤：
(1)清扫手术室，先用乙醇喷洒地面及墙壁，再用含有臭氧的氮气对地面及墙壁进行吹干；
(2)清扫完毕后，在密闭环境中对手术室喷洒消毒剂；
(3)喷洒消毒剂10-15min后开启手术室紫外线灭菌灯照射20～30min，紫外线灭菌灯紫外光源波长为250～255nm，紫外强度不低于80μW/cm2，照射过程中保持手术室内空气流动；
(4)开启手术室空调系统换风功能，对手术室内空气进行更换。
2.如权利要求1所述的一种I级洁净手术室消毒方法，其特征在于，所述步骤(1)中清扫手术室控制手术室内温度15～20℃，湿度70～80％。
3.如权利要求1所述的一种I级洁净手术室消毒方法，其特征在于，所述步骤(1)中臭氧与氮气的质量比为1：(10～15)。
4.如权利要求1所述的一种I级洁净手术室消毒方法，其特征在于，所述步骤(2)中手术室室内温度控制在20～23℃，湿度控制在20～30％。
5.如权利要求1所述的一种I级洁净手术室消毒方法，其特征在于，所述步骤(2)中的消毒剂由以下重量份的原料组成：
乙醇18-20份、次氯酸钠5-8份、芦荟提取液2-5份、成核剂3-6份、杀毒剂2-4份、蒸馏水20-25份。
6.如权利要求5所述的一种I级洁净手术室消毒方法，其特征在于，所述杀毒剂由二氧化氯和三氯异氰尿酸钠按1:1.5重量份组成。
7.如权利要求1所述的一种I级洁净手术室消毒方法，其特征在于，所述步骤(3)中手术室室内温度控制在40～45℃，湿度控制在40～50％。
8.如权利要求1所述的一种I级洁净手术室消毒方法，其特征在于，所述步骤(3)中紫外线灭菌灯在照射过程中功率逐渐升高。
9.如权利要求1所述的一种I级洁净手术室消毒方法，其特征在于，所述步骤(3)中紫外线灭菌灯照射时每立方米空间用量＞130W。
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