中国感染控制杂志2016，Vol.15Issue(9)：676-680,718,6.DOI:10.3969/j.issn.1671-9638.2016.09.008
全国187所医院腹部手术术前皮肤准备现状调查
Preoperative skin preparation for abdominal surgery in 187 hospitals of China
摘要
Abstract
Objective To investigate the current status of preoperative skin preparation in abdominal surgery in China,and put forward suggestions for improvement.Methods From April to May,2016,187 secondary and above hospitals in China were selected,questionnaires were used to investigate the methods for hair removal,skin disinfection on operative field,and application of surgical adhesive drape in abdominal surgery.Results A total of 187 hospitals in 14 provinces were investigated,of which 108 and 79 were tertiary and secondary hospitals respec-tively.87.70% of hospitals performed conventional preoperative hair removal in abdominal surgery,the percentage of conventional depilation in secondary hospitals was higher than tertiary hospitals(93.67% vs 83.33%,χ2 =4.520,P =0.033).85.98% of hospitals selected blade-shaving,7.93% and 23.78% applied chemical depilation and electric depilation respectively.Most hospitals (98.17%)performed skin preparation in the wards,mainly by ward nurses (98.17%),and conducted on the day of surgery (56.10%).86.63%,29.95%,and 3.74% of hospi-tals used iodophor,iodine plus alcohol,and chlorhexidine respectively for disinfecting skin on operative field. 92.51% of hospitals used skin incision/surgical adhesive drape (74.57% used selectively).Conclusion Most hos-pitals in China conventionally perform preoperative hair removal in abdominal surgery,and the primary method for depilation is blade-shaving,nearly half of the hospitals performed depilation on the day of surgery.Iodophor is the major skin antiseptic,surgical adhesive drape is widely used,but it is utilized in limited types of surgery.关键词
手术部位感染/术前皮肤准备/去除毛发/皮肤消毒/手术贴膜Key words
surgical site infeciton/preoperative skin preparation/hair removal/skin disinfection/surgical adhe-sive drape分类
医药卫生引用本文复制引用
曹洋,刘坤,袁晓宁,陈辉,张越巍,郭莉,武迎宏,何文英,杨雪松..全国187所医院腹部手术术前皮肤准备现状调查[J].中国感染控制杂志,2016,15(9):676-680,718,6.基金项目
中国医院协会《中国医院感染管理工作30周年总结》项目 （）
