摘要
目的 系统评价剃毛与非剃毛对减少术后切口感染率的影响.方法 计算机检索国内外电子文献数据库,根据纳入标准进行筛选,并进行质量的评价,采用专用软件进行统计分析.结果 共纳入17个RCT,13个研究（n=4 104）采取清洁与剃毛的方式备皮,分析结果显示,实验组与对照组对减少切口感染率的差异有统计学意义;1个研究（n=382）采取剪毛与剃毛的备皮方式对减少切口感染率的差异没有统计学意义;3个研究（n=370）采取清洁与剃毛的备皮方式比较备皮前后消毒前细菌阳性率的差异没有统计学意义.结论 研究结果表明,采取清洁备皮的方式对减少切口感染率要优于剃毛组,采取清洁不去毛的方式引起的感染率要低于剃毛方式;没有证据表明采取剪毛的方式较剃毛的方式对减少切口感染有效.
Objective To explore the effects of shaving and no hair removal to reduce surgical site infections （SSIs）. Methods Retrieved domestic and international electronic literature databases by using computer. Randomized controlled triaks （RCTs） according to inclusion criteria were selected and evaluated. Special software was used to analyze data. Results There were seventeen RCTs and thirteen studies involving 4104 peoples concerned two methods of preoperative preparation of skin： shaving hair removal and only cleaning the surgical site. One trial involving 382 peoples showed that there was no difference in SSIs between shearing hair group and removing hair with a razor group. Furthermore, three trials involving 370 people compared the difference in the positive rate of culturing bacteria of surgical sit between the two methods：shaving hair removal, and cleaning the surgical site only. The result showed there was no statistically significant difference between two methods. Conclusions As for the methods of preoperative preparation of skin, in the SSIs, cleaning hair is superior to removing hair with a razor and no evidence shows sheafing hair is superior to removing hair with a razor.
出处
《中华现代护理杂志》
2010年第13期1531-1534,共4页
Chinese Journal of Modern Nursing
基金
广西医科大学“十一五”项目（校教研20061319）
关键词
术前备皮
剃毛
切口感染
系统评价
Preoperative hair removal
Shaving
Surgical site infections
Systematic review
