Boyer E M
University of Iowa, College of Dentistry, Iowa City, USA.
J Dent Hyg. 1995 Mar-Apr;69(2):67-73.
This study investigated the effectiveness of a low-chemical, low-protein, powder-free latex medical glove to reduce or prevent hand dermatitis in a group of oral healthcare workers who had a self-reported history of hand irritation from medical glove use.
Dental hygienists who had previously reported dermatological conditions from routine use of medical gloves were invited to participate in this study to test a new medical glove. All subjects completed baseline information and 85 subjects participated in the study. Subjects wore the gloves routinely for six weeks unless complications developed. Postuse questionnaires were sent to the 85 participants. Dermatological signs and symptoms were measured at both times and subjects' perceptions of change in dermatological conditions were measured postuse. Data were analyzed by frequency distributions, paired t-test, and McNemar's chi-square statistic.
For the 85 participants, the reduction in number of dermatological signs and symptoms was statistically significant (t = 3.46; p = 0.001) from a mean of 2.5 (sd = 2.8) to a mean of 1.3 (sd = 2.6) symptoms. A statistically significantly (chi-square = 7/8; p = 0.005) greater proportion of subjects were symptom-free at postuse (61.2%) than at baseline (41.2%). Almost 90% of the oral healthcare workers perceived that the number of dermatological signs and symptoms, the intensity of signs and symptoms, and the area involved stayed the same or decreased.
The medical gloves used in this study were effective in reducing the number of dermatological problems associated with routine medical glove use by oral healthcare workers with self-reported histories of problems with medical gloves.
本研究调查了一种低化学物质、低蛋白、无粉乳胶医用手套对一组自述有因使用医用手套而手部过敏史的口腔医护人员减少或预防手部皮炎的有效性。
邀请此前报告因常规使用医用手套而出现皮肤病状况的牙科保健员参与本研究,以测试一种新型医用手套。所有受试者均填写了基线信息,85名受试者参与了研究。受试者常规佩戴手套六周,除非出现并发症。向85名参与者发送了使用后调查问卷。在两个时间点均测量了皮肤体征和症状,并在使用后测量了受试者对皮肤状况变化的感知。数据通过频率分布、配对t检验和麦克尼马尔卡方统计进行分析。
对于85名参与者,皮肤体征和症状的数量从平均2.5个(标准差=2.8)显著减少至平均1.3个(标准差=2.6)(t=3.46;p=0.001)。与基线时(41.2%)相比,使用后无症状的受试者比例显著更高(卡方=7.8;p=0.005),为61.2%。近90%的口腔医护人员认为皮肤体征和症状的数量、体征和症状的强度以及受累面积保持不变或减少。
本研究中使用的医用手套对于减少自述有医用手套问题病史的口腔医护人员因常规使用医用手套而产生的皮肤问题数量是有效的。