Effects of ethanol pre-degreasing combined with iodophor disinfection on craniotomy incision
10.3760/cma.j.cn115682-20200224-01018
- VernacularTitle:乙醇预脱脂联合碘伏消毒方法对开颅手术切口的影响
- Author:
Cuixia ZHENG
1
;
Jie LUO
;
Guoyin LIU
;
Lili WAN
;
Yuanyuan YAO
;
Huili CUI
;
Xiaoli REN
;
Diqin CAO
Author Information
1. 东部战区总院秦淮医疗区神经外科，南京 210002
- Keywords:
Neurosurgery;
Disinfection;
Ethanol;
Iodophor;
Incision infection
- From:
Chinese Journal of Modern Nursing
2020;26(29):4095-4098
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effects of 75% ethanol pre-degreasing combined with 0.5% iodophor disinfection on the number of colonies in the surgical site of brain tumors and the postoperative healing of surgical incisions.Methods:Totally 142 patients who underwent surgery for brain tumors in the Department of Neurosurgery, Qinhuai Medical Area, General Hospital of Eastern Command Theater from January 2017 to December 2018 were selected by convenient sampling, and divided into the control group and the observation group according to the random number table. Patients in the control group received 0.5% iodophor disinfection conventionally, while the surgical site of patients in the observation group was pre-degreased with 75% ethanol prior to 0.5% iodophor disinfection. The number of skin colonies in the surgical site, the continuous exudation time of the incision and the infection of the incision were compared between the two groups.Results:The number of colonies in the observation group was (3.73±0.62) cfu/cm 2 preoperatively and (3.92±0.47) cfu/cm 2 at the end of the operation, both lower than those of the control group, and the differences were statistically significant ( t=2.684, 5.559; P<0.05) . The time of postoperative incision exudation of the observation group was (2.12±0.95) days, which was lower than that of the control group, and the difference was statistically significant ( t=5.415, P<0.05) ; 2 cases of incision infection occurred in the observation group and 9 cases in the control group, and the difference was statistically significant (χ 2=4.834, P<0.05) . Conclusions:In craniotomy for brain tumors, pre-degreasing with 75% ethanol and disinfecting with 0.5% iodophor can reduce the number of colonies in the surgical site, the duration of wound exudation, and the incidence of incision infection.
