改良术野皮肤清洁方法预防手术部位感染的效果分析  

Effect of the modified method of preoperative skin cleaning on prevention of surgical site infection

作　　者：章文军[1] 章明阳[1] 罗小平[1] ZHANG Wenjun;ZHANG Mingyang;LUO Xiaoping(First Department of Anesthesiology,Zhongshan City People’s Hospital,Zhongshan,Guangdong,528403)

机构地区：[1]广东省中山市人民医院手术麻醉一科,广东中山528403

出　　处：《中西医结合护理》2021年第6期65-70,共6页Chinese Journal of Integrative Nursing

摘　　要：目的探讨改良术野皮肤清洁方法预防手术部位感染(SSI)的效果。方法选取脊柱外科手术患者1450例,根据手术消毒前皮肤清洁方式不同分为研究组(n=747)和对照组(n=713),对照组常规清洁手术部位,观察组在对照组基础上采用“洁肤柔”洗手液和消毒凝胶清洁手术部位。另外,随机抽取研究组50例手术患者,根据清洁前和清洁后的手术区域皮肤进行细菌学菌落数的检测,分析采用“洁肤柔”洗手液和消毒凝胶对清洁手术部位菌落数的影响。结果对照组SSI发生率为1.96%,研究组SSI发生率为0.67%,2组差异有统计学意义(P<0.05)。随机抽取研究组50例手术患者手术部位清洁前、后细菌学检测情况,清洁后菌落数小于清洁前,差异有统计学意义(P<0.05)。结论术前联合使用“洁肤柔”抗菌洗手液和手消毒凝胶对手术部位进行皮肤清洁,能有效降低SSI发生率和菌落数。Objective To investigate the effect of the modified method of preoperative skin cleaning on prevention of surgical site infection(SSI).Methods A total of 1450 patients under⁃going spinal surgery were divided into the study group(n=747)and the control group(n=713)Ac⁃cording to the preference of surgeons on method of preoperative skin cleaning.The routine preop⁃erative skin preparation was conducted in the control group,and a modified method of preopera⁃tive skin cleaning(Jifro hand sanitizer and disinfectant gel)was performed after routine skin prepa⁃ration in the study group.Besides,50 patients in the study group were randomly selected for mea⁃suring Colony Forming Units(CFU)in the surgical area before and after cleaning the surgical site,and effect of using Jifro hand sanitizer and disinfectant gel CFU in the surgical site was ana⁃lyzed.Results The incidence of SSI in the control group was 1.96%and the study group was 0.67%,which was statistically significant difference(P<0.05).After cleaning the surgical site of 50 randomly selected patients,the CFU after cleaning was fewer than that before cleaning(P<0.05).Conclusion The preoperative combination of Jifro hand sanitizer and disinfectant gel can effectively reduce the SSI rate and CFU,which is worth promoting in clinical practice.

关 键 词：手术部位感染 细菌学监测 术前皮肤准备 细菌菌落数 

分 类 号：R472.1[医药卫生—护理学]