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止血带的发展技术背景体现

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      以往国内医院使用的胶管型止血带,存在交叉使用,反复使用,保管随意,不消毒或消毒不彻或消毒闇隔过长等普遍现象,造成止血带污染严重等共性问题。

      具体表现为:
      1、止血带拾的病原菌远超出《医院消毒卫生标准》(GB15982—1995)4.2.3所规定的“接触皮肤的医疗用品细菌菌落总数应≤200cfu/g或100平方厘米:致病性微生物不得检出”要求,且检验出条件致病菌(对此国内大量文献有报道)。

      2、未按《医院感染管理办法》第三章第十二条(中华人民共和国卫生部48号令)要求的“接触皮肤、粘膜的医疗器械、器具和物品必须达到消毒水平;各种用于穿刺、采血等有创操作的医疗器具必须一用一灭菌”的相关规定操作。

      3、有研究表明,扁形止血带比圆型止血带能更好的减轻患者疼痛,提高穿刺成 功率。受国际化影响,国内一次性止血带的应用范围也将逐渐从以往军用或野外“应急”止血使用向“常规”治疗输液、抽血,止血时使用过渡。

Previous domestic hospitals use a tourniquet hose type, cross use, repeated use, custody at random, not disinfection disinfection not church or disinfection at the dark too long, a common phenomenon, cause a tourniquet common problems such as severe pollution.

Embodied in:

1, the tourniquet to pick the pathogen far beyond "the health standard for hospital disinfection" (GB15982-1995) holdings of "medical supplies the total number of bacterial colonies skin contact should be 200 cfu/g or 100 square centimeters or less: pathogenic microbes shall not be checked out" requirements, and tested pathogens (domestic numerous literatures have reported).

2, not according to article 12 of the third chapter of measures for the management of hospital infection (48 order) of the People's Republic of China ministry of health requirements of the "contact with the skin, mucous membrane of the medical equipment, appliances and items must be up to the level of the disinfection; various puncture, blood and other invasive operation used for the medical instrument must use a sterilization" the rules of operation.

Studies have shown that the flat tourniquet is better than the circular tourniquet to reduce the pain and increase the power of the puncture. Affected by the international, domestic disposable tourniquet application scope will also be gradually from the previous military or wild use the bleeding "emergency" to "normal" treatment of infusion, blood, bleeding with transition.