不同皮肤准备方法对骨科手术部位感染的影响

发布时间：2018-01-13 07:06

本文关键词：不同皮肤准备方法对骨科手术部位感染的影响　出处：《中华医院感染学杂志》2016年03期 　论文类型：期刊论文

【摘要】：目的比较不同皮肤准备方法对骨科清洁手术部位感染的影响以及预防控制感染的可行性。方法选择2014年4月-2015年3月骨科230例四肢闭合性骨折且需要去除毛发的清洁手术患者,将其随机分为试验组119例和对照组111例,其中试验组采用改良皮肤准备方法,术前1d晚和手术当日分别用2%葡萄糖氯己定消毒液消毒皮肤,手术当日术前2h内或术前即刻用电动备皮器去除毛发,对照组采用传统皮肤准备方法,术前1d采用肥皂清洁皮肤并使用刀片剃除毛发,比较两组患者在性别、年龄、手术持续时间、麻醉方式、术后是否留置引流管、手术间级别和术后感染率的差异。结果两组患者性别、年龄、手术间净化级别、手术持续时间、麻醉方式、术后是否留置引流管之间的差异均无统计学意义;患者发生手术部位感染试验组1例、对照组8例,感染率分别为0.84%和7.20%,差异有统计学意义(χ2=6.192,P0.05),传统备皮方法手术部位感染率明显高于用2%葡萄糖氯己定清洁手术野、备皮器去除毛发的改良备皮方法。结论 2%葡萄糖氯己定及备皮器去除毛发的改良备皮方法,有利于降低骨科清洁手术部位感染率。
[Abstract]:Objective to compare the effect of different skin preparation methods on infection of orthopedic clean operation site and the feasibility of preventing and controlling infection. Methods from April 2014 to March 2015, 230 cases of closed bone of extremities in orthopedic department were selected. A clean operation patient who breaks and needs to remove hair. It was randomly divided into the experimental group (119 cases) and the control group (111 cases). The experimental group was treated with modified skin preparation method and disinfected skin with 2% glucose chlorhexidine disinfectant solution 1 day before operation and on the day of operation respectively. In the control group, the traditional skin preparation method was used to remove hair within 2 hours before operation or immediately before operation. Soap was used to clean the skin and razor blade was used to shave the hair in the control group. Sex, age, duration of operation, anaesthesia style, postoperative drainage tube, interoperative grade and postoperative infection rate were compared between the two groups. Results gender, age, and inter-operative purification grade were compared between the two groups. There was no significant difference in the duration of operation, anaesthesia style, and whether the drainage tube was retained after operation. The infection rate of operation site infection was 0.84% and 7.20 respectively in the experimental group and the control group (蠂 ~ 2 = 6.192, P 0.05). The infection rate of traditional skin preparation was significantly higher than that of 2% glucose chlorhexidine. Conclusion 2% glucoclohexidine and the improved skin preparation method of skin retainer are helpful to reduce the infection rate of orthopedic clean operation.
【作者单位】：青岛市胶州中心医院医院感染管理科;青岛市胶州中心医院医院手术室;
【基金】：中华医院感染控制研究基金资助项目(ZHYY2014-0025) 青岛市医药科研基金资助项目(2013-WSZD072)
【分类号】：R687
【正文快照】： 手术前皮肤准备是外科护理常规之一,其关系到术后切口的愈合,直接影响手术效果[1-2]。传统的皮肤准备方法用刀片剃除手术区域毛发与清洁皮肤,且毛发必须剃除干净,而目前,关于在术前是否需要去除毛发、如何去除毛发与皮肤清洁消毒等出现了不同观点。笔者对骨科清洁手术患者随机

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