止血帶的發展技術背景體現
以往國內醫院使用的膠管型止血帶,存在交叉使用,反復使用,保管隨意,不消毒或消毒不徹或消毒闇隔過長等普遍現象,造成止血帶污染嚴重等共性問題。
具體表現為:
1、止血帶拾的病原菌遠超出《醫院消毒衛生標準》(GB15982—1995)4.2.3所規定的“接觸皮膚的醫療用品細菌菌落總數應≤200cfu/g或100平方厘米:致病性微生物不得檢出”要求,且檢驗出條件致病菌(對此國內大量文獻有報道)。
2、未按《醫院感染管理辦法》第三章第十二條(中華人民共和國衛生部48號令)要求的“接觸皮膚、粘膜的醫療器械、器具和物品必須達到消毒水平;各種用于穿刺、采血等有創操作的醫療器具必須一用一滅菌”的相關規定操作。
3、有研究表明,扁形止血帶比圓型止血帶能更好的減輕患者疼痛,提高穿刺成 功率。受國際化影響,國內一次性止血帶的應用范圍也將逐漸從以往軍用或野外“應急”止血使用向“常規”治療輸液、抽血,止血時使用過渡。
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.