Jensen S L, Kristensen B, Fabrin K
Department of Surgical Gastroenterology, Aalborg Hospital, Denmark.
Eur J Surg. 1997 Mar;163(3):163-7.
To investigate if double gloving can reduce the rate of perforation of glove barriers during abdominal surgery.
Randomised controlled trial.
County hospital, Denmark.
400 glove barriers from principal surgeons and first assistants used at consecutive abdominal operations.
Each participant was randomised to wear either a pair of single or double gloves.
The number of perforated glove barriers in the two study groups.
40 single glove barriers perforated (20%) and in 8 of the double glove group both gloves perforated (4%) (p < 0.001). Glove barriers on non-dominant hands were more often perforated than those on dominant hands, and both the duration of the operation and the seniority of the doctor were associated with increased rates of perforation.
Double gloving reduces the rate of perforation of glove barriers during abdominal surgery and thereby the number of episodes in which transmission of disease from patient to surgeon would be possible.
探讨腹部手术中双层手套是否能降低手套屏障穿孔率。
随机对照试验。
丹麦县医院。
连续腹部手术中主刀医生和第一助手使用的400副手套屏障。
将每位参与者随机分配为佩戴一副单层手套或双层手套。
两个研究组中穿孔手套屏障的数量。
40副单层手套屏障穿孔（20%），双层手套组中有8例双层手套均穿孔（4%）（p<0.001）。非优势手的手套屏障比优势手的更常穿孔，手术持续时间和医生资历均与穿孔率增加相关。
双层手套可降低腹部手术中手套屏障的穿孔率，从而减少疾病从患者传播至外科医生的情况发生次数。
