CAJ | 학술논문

目的系统评价剃毛与非剃毛对减少术后切口感染率的影响.方法计算机检索国内外电子文献数据库,根据纳入标准进行筛选,并进行质量的评价,采用专用软件进行统计分析.结果共纳入17个RCT,13个研究(n=4 104)采取清洁与剃毛的方式备皮,分析结果显示,实验组与对照组对减少切口感染率的差异有统计学意义;1个研究(n=382)采取剪毛与剃毛的备皮方式对减少切口感染率的差异没有统计学意义;3个研究(n=370)采取清洁与剃毛的备皮方式比较备皮前后消毒前细菌阳性率的差异没有统计学意义.结论研究结果表明,采取清洁备皮的方式对减少切口感染率要优于剃毛组,采取清洁不去毛的方式引起的感染率要低于剃毛方式;没有证据表明采取剪毛的方式较剃毛的方式对减少切口感染有效.
목적 계통평개체모여비체모대감소술후절구감염솔적영향.방법 계산궤검색국내외전자문헌수거고,근거납입표준진행사선,병진행질량적평개,채용전용연건진행통계분석.결과 공납입17개RCT,13개연구(n=4 104)채취청길여체모적방식비피,분석결과현시,실험조여대조조대감소절구감염솔적차이유통계학의의;1개연구(n=382)채취전모여체모적비피방식대감소절구감염솔적차이몰유통계학의의;3개연구(n=370)채취청길여체모적비피방식비교비피전후소독전세균양성솔적차이몰유통계학의의.결론 연구결과표명,채취청길비피적방식대감소절구감염솔요우우체모조,채취청길불거모적방식인기적감염솔요저우체모방식;몰유증거표명채취전모적방식교체모적방식대감소절구감염유효.
Objective To explore the effects of shaving and no hair removal to reduce surgical site infections (SSIs). Methods Retrieved domestic and international electronic literature databases by using computer. Randomized controlled triaks (RCTs) according to inclusion criteria were selected and evaluated. Special software was used to analyze data. Results There were seventeen RCTs and thirteen studies involving 4104 peoples concerned two methods of preoperative preparation of skin: shaving hair removal and only cleaning the surgical site. One trial involving 382 peoples showed that there was no difference in SSIs between shearing hair group and removing hair with a razor group. Furthermore, three trials involving 370 people compared the difference in the positive rate of culturing bacteria of surgical sit between the two methods:shaving hair removal, and cleaning the surgical site only. The result showed there was no statistically significant difference between two methods. Conclusions As for the methods of preoperative preparation of skin, in the SSIs, cleaning hair is superior to removing hair with a razor and no evidence shows sheafing hair is superior to removing hair with a razor.