手术中手套破损现状调查

目的了解外科手术操作中手套破损的现状，为预防外科手术中手套破损提供依据。方法2014年1月，对某院9个手术室的手术人员进行手套破损情况调查，分析手套破损率、破损部位和原因，以及破损发现方式。结果共调查2 909人次，其中147人次发生手套破损，人次破损率为5.05%；以单只手套计算，5 818只手套中有153只手套发生破损，破损率为2.63%，其中6人次两只手套均发生破损；各专科手术手套人次破损率比较，差异有统计学意义（χ2=87.945，P＜0.001），其中心脏外科（11.84%）和整形外科（10.78%）手术手套破损率最高。破损部位以掌侧手指多见，主要为食指、拇指、中指；破损原因以缝针、器械等利器损伤为主；手套破损发现方式以术中发现最多，术后肉眼发现最少；各品牌手套破损率比较，差异具有统计学意义（χ2=33.845，P＜0.001）。结论医院应选择产品质量好的手套品牌，同时，根据不同手术类型，制定相应的预防术中手套破损的措施，以减少和预防手术中手套破损的发生。

Current situation of glove perforation during surgical operation

Objective To realize the current situation of glove perforation during surgical operation process,and provide basis for preventing surgical glove perforation.Methods In January 2014,an investigation on glove perforation was conducted among operation personnel in 9 operating rooms in a hospital,glove perforation rates,sites,causes and noticed ways were analyzed.Results A total of 2 909 person-time was investigated,147 person-time occurred glove perforation,person-time rate of glove perforation was 5.05%;153 of 5 818 gloves（2.63%）were perforated,6 person-time occurred perforation of double gloves;gloves perforation rates of each specialized surgery were significantly different（χ^2=87.945,P〈0.001）,cardiac surgery（11.84%）and plastic surgery（10.78%）had the hight perforation rates.The common sites of perforation were index finger,thumb,and middle finger,the main cause of perforation was sharp damage by stitches and devices.Most perforations were noticed intraoperatively,and seldom found postoperatively by naked eyes;gloves of different brands had different perforation rates（χ^2=33.845,P〈0.001）.Conclusion In order to reduce and prevent the perforation during operation process,glove brands with good quality should be chosen,and measures for the prevention of glove perforation should be formulated according to the types of surgery.