CAJ | 학술논문

目的：了解术前葡萄糖洗必泰头部消毒对预防颅脑手术部位感染的效果。方法采用随机临床对照试验方法，2％葡萄糖洗必泰术前头部消毒组（试验组）与未使用组（对照组）对比。结果试验组手术部位感染率为0．83％，对照组为5．83％，差异有统计学意义（χ2＝3．23，P＜0．10）。在住院天数、总费用、其他部位感染率和手术部位感染病死率上差异均无统计学意义（P＞0．05）。结论术前洗必泰头部消毒对预防颅脑手术部位感染效果显著。
목적：료해술전포도당세필태두부소독대예방로뇌수술부위감염적효과。방법채용수궤림상대조시험방법，2％포도당세필태술전두부소독조（시험조）여미사용조（대조조）대비。결과시험조수술부위감염솔위0．83％，대조조위5．83％，차이유통계학의의（χ2＝3．23，P＜0．10）。재주원천수、총비용、기타부위감염솔화수술부위감염병사솔상차이균무통계학의의（P＞0．05）。결론술전세필태두부소독대예방로뇌수술부위감염효과현저。
Objective To investigate the effect of chlorhexidine gluconate in prevention of surgical site infection ( SSI ) . Methods Randomized controlled clinical trial method was used in the study. Comparison was made in the rates of SSI between the experiment group using 2% chlorhexidine gluconate and the control group. Results The rate of SSI in experiment group was significantly lower than that in control group (0.83% vs.5.83%, χ2 =3.23,P =0.035).Differences of hospital stay, total cost, infection in other sites and mortality rate of SSI were not statistically significant between the two groups ( P>0 .05 ) . Conclusion Preoperative head disinfection by chlorhexidine gluconate has remarkable effect in prevention of cerebral surgical site infection.