我国288家医院经腹会阴直肠癌根治术(Miles术)手术铺巾系统现状调查

Investigation on the present situation of surgical drape system of radical transabdominal perineal rectal cancer resection(Miles operation)in 288 Chinese hospitals

目的调查我国21个省份288家二级、三级综合医院经腹会阴直肠癌根治术(Miles术)手术铺巾系统现状。方法采用方便抽样法于2021年4月21-27日抽取21个省市共288所二级、三级综合医院的手术室护士长或普外科专科组长作为调查对象,自行设计调查问卷,并以电子问卷的形式进行调查。结果Miles术手术铺巾材质以棉质布为主(89.7%,261/288),一次性无纺布铺巾材质逐渐在东部地区兴起(17.46%,11/63),使用比例约为西部地区的4倍(4.61%,10/217),总体上38.54%(111/288)的护理管理者期望使用一次性无纺布手术铺巾。一次性无纺布铺巾张数与层数与棉质布铺巾类似,均存在洞巾被裁剪(72.22%)、无菌区域污染(78.12%)、铺巾被浸湿(97.57%)、铺巾滑脱(79.38%)等现象。结论现阶段Miles术所使用的铺巾系统有待改进。

Objective To investigate the current situation of the surgical drape system for radical transabdominal perineal rectal cancer resection(Miles operation)in 288 secondary and tertiary general hospitals in 21 provinces in China.Methods Using convenience sampling method,operating room nurse leaders or general surgery specialist leaders of 288 secondary and tertiary general hospitals in 21 provinces and cities from April 21st to 27th 2021 were selected as survey objects,and self-designed questionnaires were administered in the form of electronic questionnaires.Results Cotton cloth accounted for 89.7%(261/288)of the material of Miles surgical towel.Disposable non-woven cloth gradually emerged in the eastern region(17.46%,11/63),and the usage ratio was about four times that of the western region(4.61%,10/217).Overall,38.54%(111/288)of nursing managers expected to use disposable non-woven surgical towels.The number of sheets and layers of disposable non-woven cloth was similar to that of cotton cloth,and both had cavity towels cut(72.22%),contaminated sterile areas(78.12%),soaked towels(97.57%),and slipped towels(79.38%).Conclusion At present,the current towel drape system used in Miles operation needs to be improved.