通过更换手套降低剖宫产术中的感染发病率。
Decreasing infectious morbidity in cesarean delivery by changing gloves.
作者信息
Ventolini Gary, Neiger Ran, McKenna David
机构信息
Department of Obstetrics and Gynecology, Wright State University, 128 East Apple Street, CHE 3800, Dayton, OH 45409, USA.
出版信息
J Reprod Med. 2004 Jan;49(1):13-6.
OBJECTIVE
To assess whether changing the entire surgical team's gloves intraoperatively, after delivery of the placenta, would reduce the rate of postcesarean wound infection.
STUDY DESIGN
Women who underwent cesarean delivery were randomized to a group where the surgical team changed the surgical gloves after delivery of the placenta or to a control group, where surgical gloves were not changed during the cesarean procedure.
RESULTS
Ninety-two patients were randomized to 2 groups of 46 patients each. The group where the surgical team changed their gloves had significantly less serosanguineous drainage 24 hours after surgery (3 vs. 8 patients, 8.3% vs. 22.2%, P = .2, RR 2.7, CI 0.7, 12.4) and fewer wound infections (2 vs. 9 women, 5.5% vs. 25%, P = .05, RR 4.5, CI 0.982, 29.8).
CONCLUSION
Obstetricians may decrease the number of postcesarean wound infections by having the entire team change surgical gloves after delivery of the placenta.
目的
评估在胎盘娩出后术中更换手术团队全体人员的手套是否会降低剖宫产术后伤口感染率。
研究设计
接受剖宫产的女性被随机分为两组，一组是手术团队在胎盘娩出后更换手术手套，另一组为对照组，剖宫产手术过程中不更换手术手套。
结果
92例患者被随机分为两组，每组46例。手术团队更换手套的组术后24小时血清样引流明显较少（3例对8例患者，8.3%对22.2%，P = 0.2，RR 2.7，CI 0.7，12.4），伤口感染也较少（2例对9例女性，5.5%对25%，P = 0.05，RR 4.5，CI 0.982，29.8）。
结论
产科医生可通过让整个团队在胎盘娩出后更换手术手套来减少剖宫产术后伤口感染的数量。
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