局解手术学杂志2025，Vol.34Issue(5)：417-420,4.DOI:10.11659/jjssx.12E024001
脊柱手术中发生手套忽略性穿孔的临床研究
Clinical study on neglected perforation of glove during spinal surgery
摘要
Abstract
Objective To specify the occurrence status,distribution characteristics and risk factors of neglected perforations in surgical gloves used during spinal surgery.Methods A total of 932 surgical gloves used during spinal surgery in our hospital from October 2022 to September 2024 were selected.The occurrence and distribution location of neglected perforations were counted.Univariate and binary Logistic regression analyses were respectively conducted on the factors that might lead to neglected perforations of gloves.Results Among the 932 surgical gloves used in spinal surgery selected in this study,a total of 122 gloves(13.09％)with neglected perforations were detected,of which the proportions of neglected perforations at the index finger of the left and right hands in the gloves were the highest,accounting for 37.50％and 37.93％respectively.The results of univariate and binary Logistic regression analyses showed that grade Ⅲ or Ⅳ surgery,open surgery,combined bone grafting operation,operation time≥120 minutes,use of rotating equipment,and gloves worn by instrument nurses were risk factors for neglected perforations(P<0.05,OR>1.0),while wearing double-layer gloves was a protective factor to avoid the occurrence of neglected perforations(P<0.05,OR<1.0).Conclusion The incidence of neglected perforations in surgical gloves used during spinal surgery is relatively high,especially in the area of the glove index finger.For high-risk spinal surgeries(grade Ⅲ or Ⅳ surgery,open surgeries,combined bone grafting procedures)and requiring rotating equipment,health care workers,especially instrumental nurses,are advised to wear double-layer gloves;furthermore,a 120-minute glove change regime is recommended,in order to reduce the incidence of neglected perforation.关键词
脊柱手术/外科手套/忽略性穿孔/分布特点/危险因素Key words
spinal surgery/surgical gloves/neglected perforation/distribution characteristics/risk factors分类
医药卫生引用本文复制引用
邵晓芳,王博,谭珊珊,何文文,田宇峰..脊柱手术中发生手套忽略性穿孔的临床研究[J].局解手术学杂志,2025,34(5):417-420,4.基金项目
江苏省妇幼健康科研项目(F2021053) （F2021053）
