骨科手术术前皮肤清洁方法的研究

目的通过对骨科择期手术术前清洁皮肤的两种不同方法的比较研究,探讨骨科术前皮肤清洁的理想方法。方法选择骨科择期手术病人100例,随机分为试验组50例和对照组50例,试验组术前一天晚病人用滴露沐浴露进行手术部位清洁;对照组术前一天晚上用肥皂清洁手术部位。两组分别在术前30min、手术结束缝皮时和术后24h内术野皮肤采样行细菌培养和菌落计数,并统计两组术后的切口感染情况。结果试验组在不同时段细菌培养数明显少于对照组,差异比较有统计学意义(P<0.05);试验组切口愈合情况明显优于对照组,未发生切口感染;试验组的感染率明显低于对照组(0%vs2%,P<0.05)。结论骨科手术术前用滴露清洁皮肤能减少术后切口感染,值得临床推广应用。

Objective To investigate the ideal method of effects of skin clean before orthopedics operation by comparing two method of skin clean.Methods Select 100 selective operation cases were randomly divided into the control group with 50 cases and test group with 50 cases,the test group clean operative site with dettol shower cream overnight before the operation,the control group clean operative site with soap overnight before the operation.Compare the two group colony count when preoperative 30min,at the end of operation skin suture and after operation,and observe infection of incisional wound.Results The total bacterial count of the test group was lower than the control group,there was remarkable difference（P〈0.05）,the situation of wound healing of the test group have an advantage than the control group,no wound infection.The infection rate of the test group is obviously lower than the control group（0% vs 2%,P〈0.05）.Conclusion Before orthopedics operation,dettol clean can reduce infection of incisional wound after operation,can provide a reliable basis for clinical application.