切口备皮与脊柱术后感染率的关系
Does Shaving the Incision Site Increase the Infection Rate After Spinal Surgery?
切口部位备皮是否会增加脊柱手术术后感染率？
Study Design:A prospective randomized clinical study.
研究设计：一项前瞩性随机临床研究
Objective:To determine whether shaving the incision site before spinal surgery causes postsurgical infection.
目的：确定脊柱手术术前切口部位备皮是否会导致术后感染。
Summary of Background Data:Spine surgeons usually shave the skin of the incision site immediately before surgery is performed. However, evidence from some surgical series suggests that presurgical shaving may increase the postsurgical infection rate.
To our knowledge, no previously published studies have addressed this issue.
背景数据摘要：脊柱外科医生通常会在即将实施手术前给切口部位的皮肤备皮。但是，来自一些外科手术组证据显示：术前备皮可能会增加术后感染率。据我们所知，至今尚未有与此相关研究发表。
Methods:A total of 789 patients scheduled to undergo spinal surgery were randomly allocated into 2 groups: those in whom the site of operation was shaved immediately before surgery (shaved group; 371 patients) and the patients in whom presurgical shaving was not performed (unshaved group; 418 patients). The mean duration of anesthesia and the infection rates in both groups were recorded and compared.
方法：预定接受脊柱手术的患者总共789名，随即分成2组：术前手术部位备皮的患者组（备皮组，371名患者）和未接受术前备皮的患者（未备皮组，418名患者）。记录并比较两组的平均麻醉持续时间和感染率。
Results:The duration of anesthesia did not differ in the 2 groups (P _ 0.05). A postoperative infection developed in 4 patients in the shaved group and in 1 patient in the
nonshaved group (P _ 0.01).
结果：两组的麻醉持续时间并无显著性差异（P>0.05）。备皮组有4名患者出现术后感染，而未备皮组为一名患者。
Conclusions:The shaving of the incision site immediately before spinal surgery may increase the rate of postoperative infection.
结论：即将实施脊柱手术前切口部位皮肤备皮会增加术后感染率
[ 本帖最后由 daike_ren 于 2008-6-22 15:51 编辑 ]
搜索更多相关主题的帖子:
感染率 切口 脊柱 surgery 关系
