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大台北區中醫門診無菌針具安全監測計畫

Safety Monitoring Plan for Aseptic Needles of Chinese Medical Clinic in Great Taipei Area

摘要


針灸治療應用在中國醫學上已有三千年以上的歷史,WHO世界衛生組織也認向針灸治療對於各種疾病的有效性,但針具的安全性也是影響病人醫療安全的因素之一,因此我們隨機抽取中醫師常用之針具毫針予以細菌培養檢測其針具的安全。並以中華民國中醫師公會全聯會裡最北的分區(包含台北市、台北縣、基隆市、宜蘭縣)有執行全民健保針灸治療服務的509家中醫診所作爲抽樣的母體,依隨機方式抽取100家醫療院所列爲調查對象,回收69家院所提供的樣本排除包裝不完整者,進行細菌培養,此實驗過程全程在無茵環境,共徐驗了320支針灸毫針,其中有3支檢驗忠有陽性反應其檢測結果陽陸反應小於1%;另由各家廠商所寄回的十五盒(2100隻)針灸毫針中,一共抽樣檢驗150支針灸毫針,發現均呈陰性反應,二者皆屬檢驗誤差範圍之內,我們咸信山中醫院所或合格廠商所提供的未拆封的針灸針是安全的。無汙染針具的使用以及維護病人就醫安全,是息息相關也是非常重要的下作。因此建議爲衛生主要機關應定期查驗市面常見之針具,也建議衛生署也應公告各廠商的經銷點,醫療院所應選用衛生署網站公告之合格的針灸針具供應商作爲採購的對象,以防院所買到仿冒品,而病人也應至合格的醫療院所就診才能確保自身生命安全。

並列摘要


The acupuncture treatment has been applied for more than 3,000 years in Chinese medical science. The World Health Organization (WHO) also admits the effectiveness of the acupuncture on various kinds of disease. The safety of needles is one of the safe factors which influence the medical treatment of patients. So we randomly take the needle commonly used by Chinese medicine doctors to carry out bacteria cultivation to test their safety. The sampling bodies are taken from 509 Chinese Medicine clinics in northern Taiwan (including Taipei City, Taipei County, Keelung City, and Yilan County). 100 clinics are selected randomly as the investigation subjects. The needles are recovered from 69 clinics and get rid of the incomplete packaging ones. The bacteria cultivation is conducted. The experiments are conducted in an absolute aseptic environment. 320 acupuncture needles are inspected, wherein 3 needles have positive reaction and the positive reaction is smaller than 1%. As for 15 boxes (2100) acupuncture needles returned by the manufacturers, 150 acupuncture needles are inspected, and all needles have negative reaction. Roth sets of data are within the inspection error. We believe that the unpacked acupuncture needles from Chinese Medicine clinics or qualified manufacturers are safe, it is very important to use the pollution-free needles and maintain the safety of patients. So we recommend the National Health Authority to inspect the needles periodically. The National Health Administration should announce the qualified needles in the website, to prevent buying the counterfeit products. The patient should go to the qualified clinic to guarantee his own safety.

被引用紀錄


謝政道(2007)。水庫集水區水土資源管理決策之研究〔博士論文,國立臺灣大學〕。華藝線上圖書館。https://doi.org/10.6342%2fNTU.2007.00964

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