无接触式戴无菌手套法在外科手术中应用的临床效果观察

The application effect comparison of non-contact sterile glove method in surgical operation

目的通过比较无接触式与传统式戴无菌手套法在外科手术中应用的临床效果,探讨更适外科手术的戴无菌手套方式。方法选择同期外科手术病例130例,随机均分为无接触式组和传统式组,无接触式组采取无接触式戴无菌手套方法,传统式组采取传统式戴无菌手套方法,比较两组手术医师戴无菌手套的术前效果、术中效果及手术医师的临床评价情况。结果两组戴无菌手套方法所需时间并无显著差异(P>0.05),而手套无菌面触及皮肤例数、手术30 min与1 h无菌手套边出现反转处(手背侧)菌落数、术中手术医师袖口暴露例数、手术医师对手术室护士专业素养评分、手术室护士信任度评分和医护之间配合满意度评分比较差异均具有统计学意义(P<0.05),无接触式戴无菌手套法均显著优于传统式戴无菌手套法。结论无接触式戴无菌手套法并不会增加手术医师的操作时间,但可以显著减少术中感染机会,提高手术医师对手术室护士的认可水平,利于两者更好的配合手术,应在临床大力推广施行。

Objective By comparing the application effect comparison of non-contact and traditional wear sterile glove method in surgery,to explore a more suitable surgical procedure for wearing sterile gloves.Methods Choose surgical cases 130 cases in the same period,they were randomly divided into non-contact group and traditional group.The non- contact group was treated with non-contact wear sterile glove method. The traditional group was treated with traditional sterile glove method. Compared with preoperative effect,intraoperative effect and clinical evaluation of the surgeon. Results There was no significant difference in the time required for two groups of sterile gloves （P〉0.05）.But the number of cases of skinlessness of the gloves exposed to the skin, 30 min and 1 h sterile gloves on the side of the reversal （hand dorsal side） number of colonies, intraoperative surgeon cuff exposure cases, the surgeon on the operating room nurses professional qualification score, operating room There was significant difference between the scores of nurses＂ trust score and medical care score （P〈0.05）,the non-contact group was all better than traditional group. Conclusions Non-contact wearing sterile glove method does not increase the operation time of the surgeon, but it can significantly reduce the chance of intraoperative infection,improve the surgeon of the operating room nurses recognized level and it is conducive to surgery,so it should be vigorously promoted.