备皮时不剃毛对心脏介入性治疗穿刺口感染的影响

Impacts of Preserved Skin Without Hair-razing on Puncturing Site Infection in Patients Underwent Cardiac Intervention Therapy

为探讨心脏介入性治疗术前备皮不剃毛对术后穿刺口感染率的影响 ,将 2 2 0例心脏介入性治疗病人随机分为实验组和对照组 ,两组病人均于术前一天用肥皂水清洗皮肤或沐浴 ,实验组仅剪去可能影响手术操作的阴毛 ,于术前 2h用 1∶2 0 0 0的洗必泰溶液冲洗会阴部。对照组则常规剃去所有的阴毛及汗毛 ,术前 2h用清水清洗会阴部。术后观察两组病人穿刺口的感染率 ,并进行比较。结果 :两组术后穿刺口感染发生率无统计学意义 (P >0 .0 5 )。提示 :心脏介入性治疗术前备皮不剃毛不会增加术后穿刺口感染率。

To Probe into the impact of preoperative skin preservation without hair-razing on puncturing site infection rate, 220 patients underwent cardiac intervention treatment were divided into both test and control group randomly. The day before their operation, patients of the two groups either washed their skin with soap water or bathed. Patients in test group irrigated their perineum with 1∶2 000 chlorhexidine solution 2 h before operation and only had some pubes cut,since these pubes might possibly affect the surgical manipulation. Patients in control group routinely had their pubes and fine hairs cut and irrigated their perineum with clean water 2 h before operation. The incidences of puncturing site postoperative infection in the two groups were observed and compared. Results showed that there was no statistical significance between the two groups in terms of incidence of postoperative puncturing site infection (P>0.05). Suggested that it would not increase the postoperative puncturing site infection in patients underwent cardiac intervention treatment even if they did not have their pubes cut as they preserved skin before operation.