摘要
目的探讨75%酒精及0.5%碘伏用于鼻窦内窥镜手术面部皮肤消毒效果及对鼻腔术后感染的影响。方法将1850例经鼻内窥镜下行鼻窦手术患者,采用随机分为75%酒精消毒为实验组(A)和0.5%碘伏消毒对照组(B),每组各925例,观察两组皮肤存菌、术后鼻腔感染情况。结果两种消毒方法皮肤除菌率A组高于B组,差异有统计学意义;发生手术部位感染A组为1例,B组为3例,均为轻度感染,经消炎换药后均痊愈出院。结论两种消毒液均安全可靠,75%酒精可用于鼻内镜鼻窦手术面部皮肤消毒,替代传统的碘伏消毒方法。
Objective To investigate 75% alcohol and 0.5% povidone-iodine for endoscopic sinus surgery facial skin disinfection efficacy and impact of postoperative infection of the nasal cavity. Methods 1 850 cases of endoscopic sinus surgery patients were randomly divided into 75% alcohol for the experimental group （A） and 0.5% povidone-iodine disinfection control group （B）, 925 cases in each group, to observe skin deposit bacteria, postoperative nasal infection between the two groups. Results Skin sterilization rate in group A was higher than that in group B, with statistically significant difference; mild surgical site infection occured in group A with one case, in group B with three cases, who were cured after anti-inflammatory dressing. Conclusion Two disinfectant solutions are safe and reliable, 75% alcohol for facial skin disinfection by endoscopic sinus surgery is an alternative to traditional iodophor disinfection method.
出处
《临床医学工程》
2012年第11期2040-2041,共2页
Clinical Medicine & Engineering
关键词
鼻内镜手术
皮肤消毒
术后感染
Endoscopic sinus surgery
Skin disinfection
Postoperative infection
