McCue S F, Berg E W, Saunders E A
J Bone Joint Surg Am. 1981 Jun;63(5):811-3.
After ten total hip replacements in which a double-glove technique was used, 275 outer and inner gloves were tested for microbial contamination and for holes. The operating rooms were equipped with specially designed air-filtration mechanisms. The results indicated that the gloves that most frequently were contaminated were the ones used exclusively for draping. This finding suggests that using a separate pair of outer gloves only for draping is a valuable technique during total hip replacement.
Although the practice of using double gloves during a total joint-replacement procedure is accepted widely, there is little evidence that double-gloving actually decreases microbial contamination. The results of this study indicate that changing outer gloves at appropriate times during the procedure is indeed an important way to minimize contamination.
在10例采用双层手套技术的全髋关节置换手术中，对275只外层和内层手套进行了微生物污染和破损检测。手术室配备了专门设计的空气过滤装置。结果表明，最常被污染的手套是专门用于铺单的手套。这一发现表明，在全髋关节置换手术中仅使用单独的一副外层手套用于铺单是一种有价值的技术。
尽管在全关节置换手术中使用双层手套的做法已被广泛接受，但几乎没有证据表明双层手套实际上能减少微生物污染。本研究结果表明，在手术过程中适时更换外层手套确实是将污染降至最低的重要方法。
