本文關(guān)鍵詞：不同皮膚準(zhǔn)備方法對(duì)骨科手術(shù)部位感染的影響　出處：《中華醫(yī)院感染學(xué)雜志》2016年03期 　論文類型：期刊論文

  更多相關(guān)文章： 皮膚準(zhǔn)備 骨科清潔手術(shù) 手術(shù)部位感染

【摘要】：目的比較不同皮膚準(zhǔn)備方法對(duì)骨科清潔手術(shù)部位感染的影響以及預(yù)防控制感染的可行性。方法選擇2014年4月-2015年3月骨科230例四肢閉合性骨折且需要去除毛發(fā)的清潔手術(shù)患者,將其隨機(jī)分為試驗(yàn)組119例和對(duì)照組111例,其中試驗(yàn)組采用改良皮膚準(zhǔn)備方法,術(shù)前1d晚和手術(shù)當(dāng)日分別用2%葡萄糖氯己定消毒液消毒皮膚,手術(shù)當(dāng)日術(shù)前2h內(nèi)或術(shù)前即刻用電動(dòng)備皮器去除毛發(fā),對(duì)照組采用傳統(tǒng)皮膚準(zhǔn)備方法,術(shù)前1d采用肥皂清潔皮膚并使用刀片剃除毛發(fā),比較兩組患者在性別、年齡、手術(shù)持續(xù)時(shí)間、麻醉方式、術(shù)后是否留置引流管、手術(shù)間級(jí)別和術(shù)后感染率的差異。結(jié)果兩組患者性別、年齡、手術(shù)間凈化級(jí)別、手術(shù)持續(xù)時(shí)間、麻醉方式、術(shù)后是否留置引流管之間的差異均無(wú)統(tǒng)計(jì)學(xué)意義;患者發(fā)生手術(shù)部位感染試驗(yàn)組1例、對(duì)照組8例,感染率分別為0.84%和7.20%,差異有統(tǒng)計(jì)學(xué)意義(χ2=6.192,P0.05),傳統(tǒng)備皮方法手術(shù)部位感染率明顯高于用2%葡萄糖氯己定清潔手術(shù)野、備皮器去除毛發(fā)的改良備皮方法。結(jié)論 2%葡萄糖氯己定及備皮器去除毛發(fā)的改良備皮方法,有利于降低骨科清潔手術(shù)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.
【作者單位】： 青島市膠州中心醫(yī)院醫(yī)院感染管理科;青島市膠州中心醫(yī)院醫(yī)院手術(shù)室;
【基金】：中華醫(yī)院感染控制研究基金資助項(xiàng)目(ZHYY2014-0025) 青島市醫(yī)藥科研基金資助項(xiàng)目(2013-WSZD072)
【分類號(hào)】：R687
【正文快照】： 手術(shù)前皮膚準(zhǔn)備是外科護(hù)理常規(guī)之一,其關(guān)系到術(shù)后切口的愈合,直接影響手術(shù)效果[1-2]。傳統(tǒng)的皮膚準(zhǔn)備方法用刀片剃除手術(shù)區(qū)域毛發(fā)與清潔皮膚,且毛發(fā)必須剃除干凈,而目前,關(guān)于在術(shù)前是否需要去除毛發(fā)、如何去除毛發(fā)與皮膚清潔消毒等出現(xiàn)了不同觀點(diǎn)。筆者對(duì)骨科清潔手術(shù)患者隨機(jī)

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