术前不同备皮方法预防小儿骨科Ⅰ类切口手术部位感染的效果观察  

The effect of different preoperative skin preparation methods for prevention of type I incision surgical site infection in pediatric department of orthopedics

作　　者：孙海春[1] 张平[1] 傅晓玲[1] Sun Haichun;Zhang Ping;Fu Xiaoling(Operating Room, Shenzhen Children Hospital of Guangdong Province, Shenzhen 518026, China)

机构地区：[1]广东省深圳市儿童医院手术室,518026

出　　处：《国际护理学杂志》2019年第12期1793-1796,共4页international journal of nursing

基　　金：深圳市卫生计生系统科研项目(201402054).

摘　　要：目的探讨术前不同备皮方法预防小儿骨科Ⅰ类切口手术部位感染的效果。方法选取2016年10月~2017年4月在该院骨科住院接受手术治疗的患儿300例为研究对象。按照患儿入院的先后顺序进行编号,采用随机数字表将患儿随机分为实验组和对照组,各150例。实验组患儿备皮时,使用洗必泰醇消毒,对照组使用含碘消毒液消毒,两组患儿均用含碘手术薄膜保护患儿手术部位皮肤。比较两组患儿手术野细菌的菌落数,观察患儿是否出现手术部位感染,比较两组患儿的住院天数。结果两组患儿手术时间比较,差异无统计学意义(P>0.05)。两组患儿备皮前后手术野皮肤菌落数比较,差异无统计学意义(P>0.05)。手术后实验组的菌落数(3.10±2.40)明显低于对照组(3.90±2.90),差异有统计学意义(P<0.05)。实验组患儿手术部位感染率(0.70%)较对照组(5.30%)明显降低,差异有统计学意义(P<0.05)。实验组患儿住院时间(10.00±2.20)d明显短于对照组(14.40±1.40)d,差异有统计学意义(P<0.05)。结论洗必泰醇与含碘手术薄膜联合备皮是一种有效的术前备皮方法,能有效预防小儿骨科Ⅰ类切口患儿手术部位感染,促进患儿早日康复,值得在临床推广使用。Objective To discuss the effect of different preoperative skin preparation methods to prevent type I incision surgical site infection in pediatric department of orthopedics. Methods A total of 300 children hospitalized in the department of orthopedics of this hospital from October 2016 to April 2017 were selected as the research objects.The children were numbered according to the sequence of admission, and the children were randomly divided into experimental group and control group by random number table, with 150 cases each.When the skin was prepared in the experimental group, chlorhexidine alcohol was used for disinfection, while iodine containing disinfectant was used in the control group. Iodine containing surgical film was used to protect the skin of the surgical site in both groups.The number of bacterial colonies in the surgical field was compared between the two groups, and the presence of surgical site infection was observed. Results There was no statistical difference in the operation time between the two groups(P>0.05). There was no statistically significant difference between the two groups in the number of skin colonies in the surgical field before and after skin preparation(P>0.05). After surgery, the number of bacterial colonies in the experimental group(3.10±2.40) was significantly lower than that in the control group(3.90±2.90), and the difference was statistically significant(P<0.05). The infection rate of surgical site in the experimental group(0.70%) was significantly lower than that in the control group(5.30%), and the difference was statistically significant(P<0.05). The hospitalization time of the children in the experimental group(10.0±2.2) days was significantly shorter than that of the control group's (14.4±1.4) days, and the difference was statistically significant(P<0.05). Conclusion Skin preparation combined with chlorhexidol and iodine-containing surgical film is an effective preoperative skin preparation method, which can effectively prevent the surgical site infection of childr

关 键 词：手术部位感染 洗必泰醇 含碘手术薄膜 

分 类 号：R473.72[医药卫生—护理学]