目的 探讨30°倾斜隔板标本存放架在手术室标本存放管理中的应用效果.方法 针对目前手术室标本存放于大托盘等平面容器,易造成固定液未浸没标本、固定液外漏等一系列问题,自制隔板呈30°倾斜的标本存放架,并投入临床应用.将改进前(2014年10月)使用大托盘存放的927例手术标本设为对照组,改进后(2015年10月)使用30°倾斜隔板标本存放架的974例手术标本设为观察组,比较两组固定液未浸没标本、外漏及标本袋倾倒的发生率及医生满意度.结果 观察组固定液未浸没标本发生率为0.1%低于对照组的11.1%;标本袋倾倒发生率0.2%低于对照组的9.1%;标本固定液外漏发生率为0.1%低于对照组5.5%;观察组标本存放不合格率为0.4%,对照组为26.0%,差异有统计学意义(χ2=270.595,P<0.05);观察组手术医生对标本存放的满意度为100%,对照组为38%,差异有统计学意义(χ2=42.076,P<0.05).结论 专用标本存放架满足了手术标本存放需求,能有效保障标本浸没于固定液中,解决了固定液外泄现象,控制职业暴露与环境污染,标本存放质量有明显提高.%Objective To explore the application of the 30°gradient clapboard storage rack for the specimen in the storage management of specimens in operating room.Method The the 30°gradient clapboard storage rack for the specimen was self-designed and applied in clinic based on a series of problems including that the specimen was deposited in plane container such as the large tray and there was easy not fixation fluid immerging into the specimen and there was fixation fluid leakage and so on. A total of 927 specimens of surgery deposited in the large tray before improvement (October 2014) was selected as control group. A total of 974 specimens of surgery deposited in the 30°gradient clapboard storage rack for the specimen after improvement (October 2015) was selected as observation group. And then, we compared the incidence that the fixation fluid didn't immerge into the specimen and there was fixation fluid leakage and specimen bag toppled and fell and the degree of satisfaction of doctors.Results The incidence that the fixation fluid didn't immerge into the specimen and specimen bag toppled and fell and there was fixation fluid leakage were 0.1%, 0.2%, 0.1% after using storage rack for the specimen lower than those (11.1% and 9.1% 5.5%) before using it. The fraction defective of specimen storagein observation group was 0.4% , the control group was 26.0%. The difference was significant(χ2=270.595,P<0.01). The degree of satisfaction of surgeons in observation group was 100.00%, the control group was 38%. The difference was significant (χ2=42.076,P<0.01).Conclusions The special purpose storage rack for the specimen satisfies the demands of surgical specimen storage. It can effectively guarantee that the fixation fluid immerge into the specimen, solve the phenomena that there is fixation fluid leakage, control the occupational exposure and environmental pollution and improve the quality of specimen storage.
展开▼
