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河北省乡镇卫生院医疗废物及污水收集与处理现状调查 [中文引用][英文引用]

Investigation on Collection and Treatment of Medical Waste and Sewage in Township Hospitals of Hebei Province

作者(英文):AN Yuqin1  HAO Haiyan1  MEI Ling2  DING Tingting1  WANG Suwei1  YANG Najing1  LIU Yigang1 
单位(英文): 
关键词(英文):township hospital  medical waste  sewage  collection  treatment 
分类号:R124
出版年·卷·期(页码):2019·9·第5期(462-466)
DOI:
-----摘要:-------------------------------------------------------------------------------------------

目的 了解河北省乡镇卫生院医疗废物和污水收集与处理现状,为指导乡镇卫生院环境卫生建设提供依据。方法 全省范围抽取40所乡镇卫生院,调查其2012年和2018年医疗废物和污水收集与处理情况。结果 40所乡镇卫生院均有医疗废物收集设施。医疗废物产生量前两位为输液器和玻璃瓶;医疗污水产生量前两位为日常清洁用水和生活污水,收集方式均以经管道流入污水池为主。201260%的乡镇卫生院医疗废物收集设施为有盖污物桶和堆放点,处理前消毒率为50%,处理方式以堆放点就地焚烧为主,占42.5%;医疗污水处理前消毒率为22.5%,污水处理池平均容积为16.3 m3,处理方式以排入渗入井为主,占57.5%201882.5%的乡镇卫生院医疗废物收集设施为有盖污物桶和堆放点,处理前消毒率为67.5%,处理方式以专业机构统一处理为主,占97.5%;医疗污水处理前消毒率为62.5%,污水处理池平均容积为24 m3,处理方式以排入化粪池为主,占35%。经检验,2018年乡镇卫生院医疗废物产生量和产污系数比2012年低,2018年医疗废物经专业机构统一处理的乡镇卫生院比例有所提高,2018年医疗废水处理前消毒率、处理设施满足率比2012年高,两次调查的医疗废水处理方式没有差异。结论 应增加乡镇卫生院医疗废物和医疗污水收集设施,加强处理前消毒,提高专业机构统一处理的比例。

-----英文摘要:---------------------------------------------------------------------------------------

Objectives To understand the collection and treatment facilities of medical waste and sewage in township hospitals in Hebei province, and to provide basis for guiding the establishment of environmental sanitation facilities in township hospitals. Methods 40 township hospitals were sampled by multi-stage stratified random sampling method in Hebei province. Collection and treatment of medical waste and sewage in township hospitals were investigated in 2012 and 2018. Results The medical wastes in township hospitals were equipped with collection facilities, and the first two places of medical wastes were infusion apparatuses and ampules. The first two sources of medical sewage were daily clean water and domestic sewage, and the main collection method was the flow into sewage pool. In 2012, the collection facilities of medical waste were sewage barrels and stacking points in 47.5% of township hospitals. The medical waste was disinfected before treatment in 60% of township hospitals and in-situ incineration at stacking points in 42.5% of township hospitals. The medical sewage was disinfected before treatment in 22.5% of township hospitals and discharged into infiltration wells in 57.5% of township hospitals. The average volume of sewage treatment pond was 16.3 m3. In 2018, the collection facilities of medical waste were covered sewage barrels and stacking points in 82.5% of township hospitals. The medical waste was disinfected before treatment in 67.5% of township hospitals. The medical sewage was disinfected before treatment in 62.5% of township hospitals and discharged into septic tank in 35% of township hospitals. The average volume of sewage treatment pond was 24 m3. Statistical analysis showed that in 2018, the production and pollution coefficient of medical waste in township hospitals were lower than those in 2012. In 2018, the proportion of township hospitals where medical waste was treated by professional institutions has increased. The disinfection rate and the satisfaction rate of the medical sewage treatment facilities in 2018 were higher than in 2012. There was no difference in the treatment method of medical sewage between the two surveys. Conclusions The collection facilities, the disinfection before treatment, and the proportion of uniform treatment by professional institutions of medical waste and sewage should be increased in township hospitals.

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中文著录格式: 安玉琴1,,郝海燕1,,梅玲2,,丁婷婷1,,王苏玮1,,杨娜敬1,,刘毅刚1.河北省乡镇卫生院医疗废物及污水收集与处理现状调查.环境卫生学杂志.2019;9(5):462-466.
英文著录格式: AN,Yuqin1,,HAO,Haiyan1,,MEI,Ling2,,DING,Tingting1,,WANG,Suwei1,,YANG,Najing1,,LIU,Yigang1.Investigation on Collection and Treatment of Medical Waste and Sewage in Township Hospitals of Hebei Province..2019;9(5):462-466.

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