引用本文:宋艳艳,闫俊萍,吴春梅.[cn_title][J].[journal_cn_name],2019,[volume]([issue]):267-269.[点击复制]
Song Yanyan,Yan Junping,Wu Chunmei.[en_title][J].[journal_en_name],2019,[volume]([issue]):267-269.[点击复制]
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术中针对性护理措施对预防颅脑手术后颅内感染的效果研究
宋艳艳,闫俊萍,吴春梅
0
(山西中医药大学;山西省中西医结合医院;山西省人民医院)
摘要:
目的探讨控制手术间人数、手术间门开启次数和无菌手套使用超过4 h更换等针对术中的护理措施对预防颅脑手术术后颅内感染的效果。方法收集山西省人民医院2018年8月至11月神经外科收治并行颅脑手术的患者220例,按照进入手术室顺序依次分为对照组和干预组,各110例。对照组采用手术室常规护理措施;干预组采用包括无菌手套使用时间超过4 h更换、控制手术间人数和手术间门开启次数等手术室针对性术中护理措施,其他同对照组;比较两组患者术后颅内感染率。结果两组患者基线资料比较,差异无统计学意义(P>0.05)。干预组患者术后颅内感染率2.7%(3/100),对照组术后颅内感染率9.1%(10/110),两组比较差异有统计学意义(χ2=4.006,P=0.045)。结论术中采取控制手术间人数,控制手术间门开启次数和无菌手套使用时间超过4 h更换等措施可以有效降低患者术后颅内感染的发生率。
关键词:  手术室护理  颅内感染  颅脑手术  神经外科
DOI:
基金项目:
Effect of intraoperative targeted nursing intervention on the prevention of intracranial infection after craniocerebral surgery
Song Yanyan,Yan Junping,Wu Chunmei
(Shanxi University of Traditional Chinese Medicine;Shanxi Integrated Traditional Chinese and Western Medicine Hospital;Shanxi People''s Hospital,)
Abstract:
ObjectiveThe aim of this study is to explore the effect of nursing intervention on the prevention of intracranial infection in operation room by controlling the numbers of operating rooms and opening of doors as well as changing sterile gloves for more than 4 hours. MethodsTwo hundred and twenty patients receiving neurosurgical craniocerebral surgery in Shanxi Provincial Peoples Hospital from August to November 2018 were divided into control group and intervention group following the order of registration with 110 cases in each group. The patients in control group were treated with routine nursing in the operating room. The patients in intervention group was given intraoperative nursing intervention in the operating room including changing aseptic gloves more than 4 hours after operation, controlling the number of operating rooms and the times of opening operation door with the addition of routine nursing. The intracranial infection rate between the two groups was compared. ResultsThere was no significant difference in baseline data between the two groups (P>0.05). The intracranial infection rate was 2.7% in the intervention group which was significantly lower than that of the control group (9.1%), there were significant differences between the two groups (χ2=4.006, P=0.045). ConclusionsIntraoperative comprehensive intervention for controlling the number of operating rooms and the changing of sterile gloves can effectively reduce the incidence of intracranial infection after surgery.
Key words:  Operation room nursing  Intracranial infection  Craniocerebral operation  Neurosurgery

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