摘要
目的:观察改良眼科医用粘贴膜在开颅手术中的应用效果。方法:随机选择2015年12月-2016年10月至信宜市人民医院神经外科进行开颅手术的120例患者进行临床研究。按照就医顺序号分组,单号为观察组,双号为对照组,每组各60例。观察组使用眼科医用粘贴膜对持续滴水双极电凝器进行改良,对照组使用常规持续滴水双极电凝器进行手术操作。比较两组患者术中无菌手术巾干湿度,两组医护对持续滴水双极电凝器术中操作满意度以及两组患者手术时间、术后出院时间以及感染率。结果:观察组术中无菌手术巾重度潮湿、中度潮湿以及轻度潮湿的比例明显低于对照组,而干爽比例明显高于对照组,两组比较差异均有统计学意义(P<0.05);观察组改良后的持续滴水双极电凝器术中操作满意率为95.00%,满意度评分为(93.24±1.16)分,明显高于对照组满意率75.00%,满意度评分(87.59±3.82)分,两组比较差异均有统计学意义(P<0.05);观察组手术时间和患者术后出院时间均短于对照组,观察组术后感染率为5.00%低于对照组18.33%,两组比较差异均有统计学意义(P<0.05)。结论:改良眼科医用粘贴膜在开颅手术中具有很好的应用效果,能使医生操作简便实用,缩短取拿器械时间,有助于手术器械护士对手术器械的摆放,取拿有序,同时保持术野干燥无菌和预防伤口感染,降低患者伤口感染率,缩短患者住院时间。因此开展改良眼科医用粘贴膜在开颅手术中应用研究有着特殊和重要的意义,改良眼科医用粘贴膜可以广泛在临床推广应用。
Objective： To observe the app!ication effects of the modified ophthalmic medical adhesive film in craniotomy.nethod： 120 cases with surgical operation in our hospital were selected from December 2015 to October 2016 as research subjects.According to the medical packet sequence number, odd numbers were selected as observation group, even numbers were selected as control group, 60 cases in each group.Observation group was given ophthalmic medical adhesive film to improve the bipolar coagulation device when operation, the control group was given conventional continuous drip bipolar coagulation device for operation.Aseptic surgical towel dry humidity, medical workers satisfaction of continuous drip bipolar coagulation in operation, operation time, postoperative discharge time and infection rate in two groups were compared.Result： Mild damp ratio, moderate damp ratio and severe damp ratio of sterile surgical towel in observation group were significantly lower than control group, dry ratio was significantly higher than control group, the differences were statistically significant （ P〈O.05 ） .The satisfaction rate of the observation group was 95.00%, and the satisfaction scores were （ 93.24 ~ 1.16 ） scores, compared with the control group, the satisfaction rate was 75.00%, and the satisfaction scores were （87.59 _＋ 3.82 ） scores, the differences were statistically significant （ P〈0.05 ） .The operation time and discharge time in observation group were lower than those of the control group, the postoperative infection rate was 5.00% in the observation group and 18.33% in the control group, the postoperative infection rate was lower than that of the control group （ P〈0.05 ）. Conclusion： The improved ophthalmic medical adhesive film has good application effect in craniotomy, can make the doctor easy and practical operation, shorten the time taken to take equipment, help to the operation of the instrument and equipment to the operation of the instrument, take the order.At the same time to keep the field dry aseptic and wound infection, reduce the wound infection rate, shorten the hospital stay.Therefore, it is of special and important significance to carry out the research on the application of the modified ophthalmic medical adhesive film in the craniotomy operation.
出处
《中国医学创新》
CAS
2017年第4期31-34,共4页
Medical Innovation of China
基金
茂名市科技局立项项目(20160335)
关键词
眼科医用粘贴膜
开颅手术
持续滴水双极电凝器
Ophthalmic medical adhesive film
Craniotomy
Continuous dripping bipolar coagulation device
