世界最新医学信息文摘（电子版）
世界最新醫學信息文摘（電子版）
세계최신의학신식문적（전자판）
World Latest Medicine Information
2014年
21期
6-7
,共2页
术中手套破损%术中感染%分析
術中手套破損%術中感染%分析
술중수투파손%술중감염%분석
radical resection of gastric caner%medical glove breaking%hospital infection
目的：了解胃癌根治术中手套破损情况分析，为预防医护人员和患者的术中感染提供参考。方法2013年6月至12月，对行胃癌根治手术的医护人员调查，分为开放组及腔镜组，共有胃癌根治术355台，其中开放188台，手术收集资料完全的共815人次。结果腹腔镜胃癌根治术中手套破损明显低于开放手术（P <0.01)开放胃癌根治术中术者、一助、护士破损率明显高于二助(P <0.05)；手术时间>3 h 手套破损率明显高于<3 h 的手套破损率(P <0.05)；大部分手套破损多为术后检查时确认，因而大部分破损原因不明；破损部位以手掌侧1、2、3指多见；左手手套破损明显多于右手(P <0.05)。结论为预防医患双方交叉感染，术中手套一旦破损，应及时再刷手更换手套；建议手术时间超过3小时时，提前预防性更换手套，避免手套破损，减少职业暴露。
目的：瞭解胃癌根治術中手套破損情況分析，為預防醫護人員和患者的術中感染提供參攷。方法2013年6月至12月，對行胃癌根治手術的醫護人員調查，分為開放組及腔鏡組，共有胃癌根治術355檯，其中開放188檯，手術收集資料完全的共815人次。結果腹腔鏡胃癌根治術中手套破損明顯低于開放手術（P <0.01)開放胃癌根治術中術者、一助、護士破損率明顯高于二助(P <0.05)；手術時間>3 h 手套破損率明顯高于<3 h 的手套破損率(P <0.05)；大部分手套破損多為術後檢查時確認，因而大部分破損原因不明；破損部位以手掌側1、2、3指多見；左手手套破損明顯多于右手(P <0.05)。結論為預防醫患雙方交扠感染，術中手套一旦破損，應及時再刷手更換手套；建議手術時間超過3小時時，提前預防性更換手套，避免手套破損，減少職業暴露。
목적：료해위암근치술중수투파손정황분석，위예방의호인원화환자적술중감염제공삼고。방법2013년6월지12월，대행위암근치수술적의호인원조사，분위개방조급강경조，공유위암근치술355태，기중개방188태，수술수집자료완전적공815인차。결과복강경위암근치술중수투파손명현저우개방수술（P <0.01)개방위암근치술중술자、일조、호사파손솔명현고우이조(P <0.05)；수술시간>3 h 수투파손솔명현고우<3 h 적수투파손솔(P <0.05)；대부분수투파손다위술후검사시학인，인이대부분파손원인불명；파손부위이수장측1、2、3지다견；좌수수투파손명현다우우수(P <0.05)。결론위예방의환쌍방교차감염，술중수투일단파손，응급시재쇄수경환수투；건의수술시간초과3소시시，제전예방성경환수투，피면수투파손，감소직업폭로。
Objective analyzing radical gastrectomy glove damage situation in order to provide the reference for the prevention of infection of the medical staff and patients in operation. Methods from 2013 June to december, the medical care staff underwent radical operation for gastric cancer were investigated and they were divided into laparoscopic group and open group, a total of radical operation for gastric cancer 355, open 188, 815 persons were selected complete operation data. Results The broken gloves times in laparoscopic radical gastrectomy for gastric cancer was significantly lower than that in the open operation (P <0.01). during the open radical gastrectomy for gastric cancer patients, the gloves breakage rate of the surgeon, thefirst surgical assistant and the nurse was significantly higher than that of the second surgical assistant (P <0.05); and the gloves breakage rate in operation lasting more than 3 h was significantly higher than that of operation lasting less than 3 h (P <0.05). Most gloves was examined after the surgery during confirmation, so the reason of most gloves damage is not clear. The gloves damage was often shown in the finger of 1, 2, 3 and that in the left hand was more than the right hand (P <0.05). Conclusion in order to prevent infection of doctors and patients during the surgery, intraoperative gloves once damaged, should be changed and surgeon should brush hands. if the operation time lasted more than 3 hours, the gloves should be changed for another to prevent the exposure in gloved damage.
