单、双层手套对腹部手术医务人员手的保护作用

Protection of operative personnel in abdominal surgery with single-layer glove or double-layer gloves

目的:评价手术中戴单、双层手套对手术者的保护作用。方法:收集腹部手术超过1 h术中更换的手套及手术后的手套,通过漏水法和空气充气法进行检测,并记录术中手术者手部皮肤污染及戴双层手套的舒适度。结果:>1 h的腹部外科手术58例600只,有490只单层手套147只穿孔,术中发现并更换手套76只,手有污染共有47只,61只在手术结束后检测发现手套有穿孔。双层手套110只外层手套穿孔32只,术中发现更换23只,而内层发现同时有穿孔9只,术后检测4只外层没有穿孔而内层有穿孔,有4人感到紧或触觉不敏感。结论:腹部手术时及时发现手套穿孔、及时更换及戴双层手套能减少医务人员术中手部被患者的血液、体液污染。

Objective： To assess protection of operative personnel in abdominal operation with single-layer glove or double-layer gloves. Methods： Gloves used in abdominal operation for more than 1 hour were collected in the operation when the gloves were removed or at end of the surgical procedure. The collected gloves were tested by the air inflation and the water leaking method. The presence of blood or fluid on hands of operation personnel and comfortable feeling with double gloves were recorded. Results： Six hundred gloves used in 58 cases of abdominal operation of more than 1 hour were collected. One hundred and forty-seven gloves were found to have perforation in 490 single-layer gloves. Seventy-six gloves were changed during operation, the hands with 47 gloves on were contaminated,and 61 gloves were tested at end of the surgical procedure. In the double-layer gloves ,perforation was found in 32 gloves in the outer glove and 9（ 16.3% ） in the inner glove. Conclusions： Hands of operation personnel should be observed seriously during operation to avoid contamination by blood and fluid of the patients. It is recommended that double-layer gloves be used loutinely in surgical procedures to protect hands of operative staff,especially in the operation for patients with virus in the blood.