隨著內(nèi)窺鏡診療技術(shù)的發(fā)展，軟式內(nèi)窺鏡廣泛運(yùn)用在腫瘤的篩查、疾病的診斷和治療，它使用后清洗消毒是所有使用者所擔(dān)心的問(wèn)題，下面內(nèi)窺鏡設(shè)備維修人員就來(lái)講下它的清洗消毒處理流程吧。

With the development of endoscopic diagnosis and treatment technology, flexible endoscopes are widely used in tumor screening, disease diagnosis and treatment. Cleaning and disinfection after use is a concern of all users. Let's talk about the cleaning and disinfection process of endoscope equipment maintenance personnel.

一、床旁預(yù)處理流程：當(dāng)內(nèi)窺鏡從病人體內(nèi)取出后，護(hù)士及時(shí)使用含有清洗劑的紗布沿著操作部向先端部方向擦拭。然后使用含酶清洗劑的水反復(fù)吸引沖洗管腔。

1、 Bedside pretreatment process: after the endoscope is taken out of the patient, the nurse uses gauze containing cleaning agent to wipe along the operation part toward the tip in time. Then, the lumen was repeatedly sucked and rinsed with water containing enzyme detergent.

二、運(yùn)送至消毒室，消毒室工作人員清洗槽內(nèi)注入適量過(guò)濾水（符合內(nèi)窺鏡清洗消毒規(guī)范）進(jìn)行內(nèi)窺鏡的測(cè)漏檢查，內(nèi)窺鏡完好無(wú)滲漏。含清洗液（酶液）的清洗槽內(nèi)，及時(shí)對(duì)內(nèi)窺鏡進(jìn)行預(yù)清洗。

2、 After being transported to the disinfection room, the staff of the disinfection room injected an appropriate amount of filtered water into the cleaning tank (in accordance with the endoscope cleaning and disinfection specifications) for leak detection inspection of the endoscope. The endoscope was in good condition without leakage. In the cleaning tank containing cleaning solution (enzyme solution), timely pre clean the endoscope.

1、使用清潔紗布在清洗槽內(nèi)（含酶清洗劑）反復(fù)擦洗鏡身，擦洗插入部和操作部，紗布一用一更換。

1. Use cleaning gauze to repeatedly scrub the lens body in the cleaning tank (including enzyme detergent), scrub the insertion part and the operation part, and replace the gauze once in use.

2、酶液下手工刷洗，使用專用內(nèi)窺鏡清洗刷，分別對(duì)內(nèi)窺鏡的所有管道、注水注氣按鈕、先端帽等進(jìn)行反復(fù)刷洗。尤其是按鈕內(nèi)部的空隙，更是刷洗的部位。清洗刷一用一換，清洗液一用一換。

2. Manual brushing under enzyme solution: use special endoscope cleaning brush to repeatedly brush all the pipes, water and gas injection buttons and tip caps of the endoscope. In particular, the gap inside the button is the part to be brushed. The cleaning brush shall be replaced once in use and the cleaning liquid shall be replaced once in use.

3、使用過(guò)濾水沖洗干凈內(nèi)窺鏡的內(nèi)管道和外管壁的清洗劑，壓力氣槍吹干水分。按鈕和閥門、清洗刷沖洗干凈。

3. Rinse the cleaning agent of the inner pipe and outer pipe wall of the endoscope with filtered water, and blow the water dry with a pressure air gun. The button, valve and cleaning brush shall be cleaned.

4、注氣注水按鈕、清洗刷、可以復(fù)用的附件等放入超聲清洗器中用含酶清洗液震蕩清洗。

4. Put the gas injection and water injection button, cleaning brush, reusable accessories, etc. into the ultrasonic cleaner and shake them with the cleaning liquid containing enzymes.

三、將過(guò)預(yù)清洗后的內(nèi)窺鏡及附件、清洗刷共同放入全自動(dòng)內(nèi)窺鏡清洗消毒機(jī)中進(jìn)行清洗。

3、 Put the pre cleaned endoscope, accessories and cleaning brush into the full-automatic endoscope cleaning and disinfection machine for cleaning.

四、清洗機(jī)清洗程序運(yùn)行結(jié)束后，消毒人員更換手套，取出內(nèi)窺鏡并刷卡記錄，使用壓力氣槍向所有管道充氣至少30s，使其管腔完全干燥。使用無(wú)菌擦拭巾、壓力氣槍干燥內(nèi)窺鏡外表面、按鈕和閥門。安裝按鈕和閥門。將內(nèi)窺鏡鏡頭涂抹保護(hù)蠟。

4、 After the cleaning procedure of the cleaning machine is completed, the disinfection personnel shall replace gloves, take out the endoscope and swipe the card for recording, and inflate all pipes with pressure air gun for at least 30s to completely dry their lumens. Dry the external surface of the endoscope, buttons and valves with sterile wipes and pressure air guns. Install buttons and valves. Apply protective wax to the endoscope lens.

五、放入內(nèi)窺鏡專用運(yùn)送車備用，不再使用的內(nèi)窺鏡放入專用柜儲(chǔ)存，每次使用前進(jìn)行再次消毒。

5、 Put it into the special delivery vehicle for endoscopes for standby. Put the endoscopes that are no longer in use into the special cabinet for storage. Disinfect them again before each use.

六、對(duì)清洗消毒設(shè)備及使用的內(nèi)窺鏡每季度會(huì)定期進(jìn)行生物學(xué)培養(yǎng)監(jiān)測(cè)清洗消毒質(zhì)量，使用內(nèi)窺鏡追溯系統(tǒng)，做到每一條內(nèi)窺鏡從診療到消毒每一個(gè)環(huán)節(jié)都有據(jù)可查。

6、 The cleaning and disinfection equipment and endoscopes used will be regularly biological cultured every quarter to monitor the cleaning and disinfection quality, and the endoscope tracing system will be used to ensure that every link from diagnosis and treatment to disinfection of each endoscope is documented.

做好每一條內(nèi)窺鏡的清洗消毒工作，是使用者的職責(zé)，更多關(guān)于內(nèi)窺鏡的使用事項(xiàng)就來(lái)我們網(wǎng)站http://m.tukouzhao.cn咨詢了解吧！

It is the user's responsibility to clean and disinfect each endoscope. For more information about the use of endoscopes, please visit our website http://m.tukouzhao.cn Consult and understand!