50例正颌外科手术中手套穿孔情况分析  

Analysis of glove perforation in 50 cases of orthognathic surgery

作　　者：张新莲 吕霞[1] 贾婷婷 孙志新[2] 李青[3] 张风河[3] ZHANG Xinlian;LYU Xia;JIA Tingting;SUN Zhixin;LI Qing;ZHANG Fenghe(Department of Stomatology,Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250014,Shandong,China;Department of Western Surgery,the First Clinical College of Shandong University of Traditional Chinese Medicine,Jinan 250355,Shandong,China;Department of Oral and Maxillofacial Surgery,School and Hospital of Stomatology,Cheeloo College of Medicine,Shandong University&Shandong Provincial Key Laboratory of Oral Tissue Regeneration&Shandong Engineering Laboratory for Dental Materials and Oral Tissue Regeneration,Jinan 250012,Shandong,China)

机构地区：[1]山东中医药大学附属医院口腔科,山东济南250014 [2]山东中医药大学第一临床学院西医外科教研室,山东济南250355 [3]山东大学口腔医学院,口腔医院口腔颌面外科山东省口腔组织再生重点实验室山东省口腔生物材料与组织再生工程实验室,山东济南250012

出　　处：《山东大学学报（医学版）》2020年第6期83-86,共4页Journal of Shandong University:Health Sciences

基　　金：国家自然科学基金(81802709);山东省自然科学基金(ZR2018BH024)。

摘　　要：目的研究正颌外科手术术中手套穿孔的情况,为降低手套穿孔率、预防交叉感染提供理论依据。方法收集2018年3月~2019年9月于山东大学口腔医院口腔颌面外科进行的50例正颌外科手术中使用的472只手套,分别采用术中、术后肉眼观察、术后手套内注水加压的方法,评价穿孔率、穿孔部位及好发的正颌外科手术类型。结果正颌外科手术中手术人员共穿孔84只手套,其中主刀医师手套穿孔率占30.07%,穿孔的部位主要为左手食指,下颌骨矢状劈开术最为好发正颌外科手术类型。结论正颌外科手术中以肉眼观察的方式发现居多,其中主刀医师、左手示指、下颌骨矢状劈开术发生手套穿孔率高,为减少医患交叉感染,建议戴双层手套加以防护。Objective To explore the occurrence of glove perforation in orthognathic surgery in order to reduce its occurrence and prevent cross infection.Methods A total of 472 gloves used in 50 orthognathic surgeries were collected during Mar.2018 and Sep.2019 in the Department of Oral and Maxillofacial Surgery,of School and Hospital of Stomatology,Cheeloo College of Shandong University.The gloves were observed with naked eyes during and after surgery,and then were filled with water to observe the perforation rate,site,and occurrence rate in different types of orthognathic surgeries.Results Altogether 84 gloves perforated,30.07%of which were worn by dominant surgeons.Perforation was most likely to occur in the left index finger,and in operations like sagittal split of mandible.Conclusion In orthognathic surgery,most glove perforations were detected by visual observation,which are likely to occur in the dominant surgeons?left index finger and in operations such as sagittal split of mandible.In order to reduce cross infection,surgeons had better put on double-layer gloves for protection.

关 键 词：正颌外科手术 手套穿孔率 交叉感染 手术团队 

分 类 号：R782.23[医药卫生—口腔医学]