剃毛备皮和脱毛剂备皮在骨科手术中的应用效果观察

摘要

Objective To explore the relationship between different methods of skin preparation and surgical site infection in orthopedic operation. Methods 100 patients in orthopedic department who were received surgical treatment in our hospital were selected as research objects according to the inclusion and exclusion criteria which were established previously.Patients’ data were divided to the treatment group (knife shaving method) and the control group (depilatory method) according to different methods of skin preparation,with 50 in each.Evaluation indexes including total viable count,surgical site healing degree,patients’ satisfaction degree and surgical site infection of samples of different skin preparation time and skin preparation methods were compared.ResultsThe total viable count of the treatment group was significantly lower than the control group and the comparative difference has statistical significance (P<0.05).Surgical site infection rate of the treatment group was significantly lower than the control group and the comparative difference has statistical significance (P<0.05).Surgical site infection rate of patients was smaller when skin preparation time was closer to the operation time.Surgical site healing degree and patients’ satisfaction degree of the treatment group were significantly higher than those of the hospital stay of the treatment group were significantly higher than those of the control group. The difference was statistically significant (P<0.05). Conclusion Skin preparation can most greatly reduce incidence of surgical site infection,pain and economic burden of patients and improve prognosis of them when hair-shaving method is closer to operation time.It has great market value and development prospects,worthy of active promotion and application in clinic.%目的：探讨骨科术前不同备皮方法与手术切口感染的关系。方法根据事先制定的病例纳入与排除标准选择在我院住院接受手术治疗的骨科患者100例作为研究对象。根据备皮方式的不同将患者资料分为治疗组（备皮刀剃毛法）和对照组（脱毛剂法），每组50例。比较两种备皮方法不同备皮时间下样本的评价指标（总菌落数，切口愈合等级，患者满意程度，切口感染）。结果治疗组的总菌落数显著低于对照组，差异具有统计学意义（P＜0.05）；治疗组的切口感染率明显的低于对照组，差异具有统计学意义（ P＜0.05），而且备皮时间离手术时间越接近患者的切口感染率愈小；治疗组的切口愈合等级和患者的满意程度显著高于对照组的住院时间，差异具有统计学意义（P＜0.05）。结论脱毛备皮法离手术时间越近的备皮能最大限度的降低切口感染的发生率，减轻患者痛苦及经济负担，改善患者的预后，具有巨大的市场价值和发展前景，应在临床上积极推广应用。