长纤聚酯纤维铺巾在神经外科手术中的应用观察  

Observation on the application of polyester filament fiber surgical drape in neurosurgery

作　　者：熊中雨 易凤琼[1] 曾彦超[1] 徐庆[1] 王云 钟昌艳[1] 杨华文 Xiong Zhongyu;Yi Fengqiong;Zeng Yanchao;Xu Qing;Wang Yun;Zhong Changyan;Yang Huawen(Department of Anesthesiology,the First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China)

机构地区：[1]重庆医科大学附属第一医院麻醉科,400016

出　　处：《中国实用护理杂志》2020年第30期2358-2361,共4页Chinese Journal of Practical Nursing

基　　金：国家临床重点专科建设项目(财社〔2011〕170号);重庆医科大学护理学院护理学重点学科建设(2019hlxk19)。

摘　　要：目的探讨长纤聚酯纤维铺巾应用于神经外科手术的效果。方法选取2019年4—7月入住神经外科手术患者181例,按照掷硬币法随机分为2组,使用棉布铺巾为棉布组92例,使用长纤聚酯纤维铺巾为长纤聚酯纤维组89例,对比分析2组铺巾抗渗液性能、术中低体温发生情况以及手术部位感染(SSI)发生率。结果手术结束时铺巾浸湿率棉布组为58.7%(54/92),长纤聚酯纤维组为15.7%(14/89),差异有统计学意义(χ^2值为35.605,P<0.05);术中低体温发生率棉布组为22.8%(21/92),长纤聚酯纤维组为11.2%(10/89),差异有统计学意义(χ^2值为4.281,P<0.05);棉布组SSI发生率为16.3%(15/92),长纤聚酯纤维组SSI发生率为6.7%(6/89),差异有统计学意义(χ^2值为4.034,P<0.05)。结论在手术时间较长、术中冲洗液量较多的神经外科手术中,使用长纤聚酯纤维铺巾能获得更好的防水阻菌效果,有利于保护手术切口,在一定程度上可降低患者术中低体温发生率。Objectives To investigate the effect of polyester filament fiber surgical drape in neurosurgery.Methods A total of 181 neurosurgical surgeries were selected from April to July 2019 in a first-class general hospital.They were randomly divided into 2 groups,cotton group(92 cases)were covered with cotton drape,polyester filament fiber group(89 cases)were covered with polyester filament fiber.The anti-permeation performance,incidence of intraoperative hypothermia,and incidence of postoperative surgical site infection(SSI)between the two groups were compared.Results At the end of the operation,the wetting rate of the cotton draped was 58.7%(54/92)and that in polyester filament fiber was 15.7%(14/89),with statistically significant differences(χ^2 value was 35.605,P<0.05);The incidence of intraoperative hypothermia was 22.8%(21/92)in the cotton group and 11.2%(10/89)in the polyester filament fiber group,with statistically significant differences(χ^2 value was 4.281,P<0.05).The incidence of SSI in the cotton group was 16.3%(15/92),while that in the polyester filament fiber group was 6.7%(6/89),with statistically significant differences(χ^2 value was 4.034,P<0.05).Conclusions In neurosurgical operations with a long operation time and a large amount of irrigation fluid during the operation,using the polyester filament fiber drape can prevent the irrigation fluid from wetting the surgical drape,protect the surgical incision better,reduce the incidence of SSI and intraoperative hypothermia to some extent.

关 键 词：手术铺巾 长纤聚酯纤维 神经外科 

分 类 号：R473.6[医药卫生—护理学]