超声波刷在手足踝外科术前皮肤准备中的应用效果  

Application of ultrasonic brush in skin preparation before hand,foot and ankle surgery

作　　者：周燕 凌芳华 孙艳 蒋璇 曾若澜 Zhou Yan;Ling Fanghua;Sun Yan;Jiang Xuan;Zeng Ruolan(Guilin People's Hospital Nursing Department,Guilin 541002,China)

机构地区：[1]广西壮族自治区桂林市人民医院护理部,541002

出　　处：《现代养生》2023年第6期409-412,共4页Health Protection and Promotion

基　　金：广西卫健委自筹经费课题(编号:Z20211609)。

摘　　要：目的探讨超声波刷在手足踝外科术前皮肤准备中的应用效果。方法选取2021年7月-2022年6月在医院行手足踝外科手术的患者60例为研究对象,按照性别、年龄、手术部位组间均衡可比的原则分为对照组30例和观察组30例。对照组采用传统方法行术前皮肤准备,观察组采用超声波刷行术前皮肤准备。比较两组患者的术野皮肤含菌量、皮肤损伤情况、术后伤口感染情况及舒适度评分。结果术前皮肤准备前,两组患者术野皮肤含菌量比较,差异无统计学意义(P>0.05);皮肤准备后,两组患者术野皮肤含菌量均减少,但观察组术野皮肤含菌量减少程度高于对照组,差异有统计学意义(P<0.05)。观察组皮肤损伤率、术后伤口感染率低于对照组,观察组生理维度、心理维度、社会文化维度、环境维度的Kolcaba舒适度评分均高于对照组,差异有统计学意义(P<0.05)。结论在手足踝外科术前皮肤准备中应用超声波刷能够清除术野皮肤表面细菌,同时减少皮肤损伤,降低术后切口感染风险,提高患者舒适度。Objective To explore the application of ultrasonic brush in skin preparation before hand,foot and ankle surgery.Methods 60 patients undergoing hand,foot and ankle surgery in hospitals from July 2021 to June 2022 were selected as the research subjects and divided into control group and 30 observation group according to the principle of comparable gender,age and surgical site.The control group used the traditional preoperative skin preparation,and the observation group performed the preoperative skin preparation with ultrasound brush.The skin content,skin damage,postoperative wound infection and comfort score were compared.Results Before preoperative skin preparation,the difference between skin content(P>0.05);after preoperative skin preparation with ultrasonic brush,the difference was higher than that of the control group(P<0.05).The rate of skin injury and postoperative wound infection in the observation group were lower than that of the control group,and the Kolcaba comfort scores of physiological,psychological,sociocultural and environmental dimensions were all higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The application of ultrasonic brushes in preoperative skin preparation for hand,foot and ankle surgery can effectively remove bacteria on the skin surface of the surgical field,while reducing skin damage,reducing the risk of postoperative incision infection,and improving patient comfort.

关 键 词：手足踝 外科手术 超声波刷 术前皮肤准备 

分 类 号：R613[医药卫生—外科学]