神经外科锁孔手术两种备皮方法的临床研究

Comparable research for two methods of skin preparation about neurologic surgical key hole operation

目的 :探讨神经外科锁孔手术术前局部小范围剃毛备皮的可行性。方法 :选择神经外科锁孔手术病人 80例 ,随机分为观察组 40例和对照组 40例 ,对照组采用常规开颅手术的备皮方法。观察组术日剃除切口周围约 3cm范围的头发 ,进行局部小范围剃毛备皮。比较观察组和对照组重复备皮率、备皮时病人的疼痛不适感、对病人产生的负性心理影响、备皮前后血压、脉搏的改变以及术后切口感染、颅内感染的发生率。结果 :两种备皮方法病人重复备皮率、疼痛不适感、对病人产生的负性心理影响、对照组备皮前后血压、脉搏的改变等差异有统计学意义 (均P <0 .0 5) ,术后切口感染率、颅内感染率、观察组备皮前后血压、脉搏的改变差异无统计学意义 (均P >0 .0 5)。结论

Objective:To invenstigate the fessibility of local small area skin preparation about neurologic surgical key hole operation. Method:80 cases were divided into predictive group and the conventional group randomly.The predictive group only shaved 3 cm area around incision;and the conventional group accept skin preparation method for traditional craniotomy. Result:Repeating skin preparation, uncomfort, psychical influence of the predictive group was significantly decreased( all P<0.05).There are no significant differences between the predictive group and the conventional group of demal and intracranial(P>0.05).Before skin preparation ,there are no significant differences between blood pressure and pulse after skin preparation in the predictive group(P>0.05). Couclusion:Local small area skin preparation in neurologic surgical key hole operation is superior.