山东大学学报 (医学版) ›› 2023, Vol. 61 ›› Issue (10): 83-87.doi: 10.6040/j.issn.1671-7554.0.2023.0278
蒋莉莉1,陈鹏1,徐新阳1,张晓荣1,孟秋禹2,祁冬3,杨传景4,吴倩5
JIANG Lili1, CHEN Peng1, XU Xinyang1, ZHANG Xiaorong1, MENG Qiuyu2, QI Dong3, YANG Chuanjing4, WU Qian5
摘要: 目的 调查龈下刮治术中所用手套穿孔情况,探究手套穿孔的影响因素。 方法 2021年7月至2022年2月在某口腔专科医院牙周病科收集龈下刮治术中使用的手套,通过不透水试验测试手套穿孔情况。使用一般资料调查表收集手套使用者的基本资料。采用SPSS 25.0 统计学软件进行统计描述、卡方检验/Fisher确切概率法和Mann-Whiney U检验,分析手套穿孔情况及其影响因素。 结果 研究中共收集手套141副,龈下刮治术中使用的手套穿孔率为14.9%(21/141)。141副手套中共发生穿孔25例次,穿孔部位多发生于右手,占64.0%(16/25),并以右手示指(6例次)、右手手掌(4例次)最为多见。手套穿孔情况在操作时长上的差异具有统计学意义(U=767.500, P=0.004)。 结论 龈下刮治术中使用的手套穿孔发生率较高,穿孔部位以右手示指及手掌居多,操作时长是手套穿孔的显著影响因素。
中图分类号:
[1] Holliday R, Allison JR, Currie CC, et al. Evaluating contaminated dental aerosol and splatter in an open plan clinic environment: Implications for the COVID-19 pandemic [J]. J Dent, 2021, 105: 103565. doi: 10.1016/j.jdent.2020.103565. [2] Azam H, Agilan N, Pitigala P, et al. Impact of COVID-19 on patients attitudes and perceptions of dental health services: a questionnaire based study in an australian university dental clinic [J]. Healthcare(Basel), 2022, 10(9): 1747. [3] Li L, Zeng M, Chen X, et al. Optimizing safe dental practice during the COVID-19 pandemic: recommendations based on a guide developed for dental practices in China [J]. Front Med, 2021, 8: 619357. doi: 10.3389/fmed.2021.619357. [4] 孟焕新. 牙周病学[M]. 4版. 北京: 人民卫生出版社, 2012: 246. [5] Huynh R, Du D, Im JH, et al. Identifying trends of percutaneous injuries at an Australian dental school [J]. Int Dent J, 2022, 72(3): 308-314. [6] Mew J. Glove wearing: an assessment of the evidence [J]. Br Dent J, 2015, 218(8): 451-452. [7] Harnoss JC, Partecke LI, Heidecke CD, et al. Concentration of bacteria passing through puncture holes in surgical gloves [J]. Am J Infect Control, 2010, 38(2): 154-158. [8] Hubner NO, Goerdt AM, Stanislawski N, et al. Bacterial migration through punctured surgical gloves under real surgical conditions [J]. BMC Infect Dis, 2010, 10: 192. doi: 10.1186/1471-2334-10-192. [9] Anand S, Pogorelic Z, Singh A, et al. Comparison of unnoticed glove perforations during minimally invasive versus open surgeries: a systematic review and Meta-analysis [J]. Children(Basel), 2022, 9(2): 179. [10] Osodin TE, Akadiri OA, Akinmoladun VI. Evaluation of surgical glove perforation and sharps injury in oral and maxillofacial surgery [J]. J West Afr Coll Surg, 2022, 12(4): 1-5. [11] Doll GM, Zentner A, Balan R, et al. Efficacy of protection by latex gloves during orthodontic therapy [J]. J Orofac Orthop, 2000, 61(2): 80-90. [12] Xavier RL, Vasconcelos BC, Da SL, et al. Glove perforation during oral surgical procedures [J]. Med Oral Patol Oral Cir Bucal, 2006, 11(5): E433-E436. [13] Osodin TE, Akadiri OA, Akinmoladun VI, et al. Surgical glove perforation and percutaneous injury during intermaxillary fixation with 0.5 Mm stainless steel wire [J]. West Afr J Med, 2022, 39(8): 823-828. [14] Avery CM, Hjort A, Walsh S, et al. Glove perforation during surgical extraction of wisdom teeth [J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 1998, 86(1): 23-25. [15] Pitten FA, Herdemann G, Kramer A. The integrity of latex gloves in clinical dental practice [J]. Infection, 2000, 28(6): 388-392. [16] Zaatreh S, Enz A, Klinder A, et al. Prospective data collection and analysis of perforations and tears of latex surgical gloves during primary endoprosthetic surgeries [J]. GMS Hyg Infect Control, 2016, 11:Doc25. doi: 10.3205/dgkh000285. [17] 张新莲, 吕霞, 贾婷婷, 等. 50例正颌外科手术中手套穿孔情况分析[J]. 山东大学学报(医学版), 2020, 58(6): 83-86. ZHANG Xinlian, LYU Xia, JIA Tingting,et al. Analysis of glove perforation in 50 cases of orthognathic surgery [J]. Journal of Shandong University(Health Sciences), 2020, 58(6): 83-86. [18] Laroche C, Barr A, Dong H, et al. Effect of dental tool surface texture and material on static friction with a wet gloved fingertip [J]. J Biomech, 2007, 40(3): 697-701. [19] Partecke LI, Goerdt AM, Langner I, et al. Incidence of microperforation for surgical gloves depends on duration of wear [J]. Infect Control Hosp Epidemiol, 2009, 30(5): 409-414. [20] Harnoss JC, Kramer A, Heidecke CD, et al. What is the appropriate time-interval for changing gloves during surgical procedures? [J]. Zentralbl Chir, 2010, 135(1): 25-27. [21] Dodamani AS, Jadhav HC, Khairnar MR, et al. Dental professionals knowledge and behavior towards utilization of gloves: a cross-sectional survey [J]. J Prev Med Hyg, 2020, 61(4): E636-E641. [22] de Castro-Peraza ME, Garzon-Rodriguez E, Rodriguez-Perez V, et al. Glove perforation in surgery and protective effect of double gloves [J]. Enferm Clin, 2010, 20(2): 73-79. [23] Laine T, Aarnio P. How often does glove perforation occur in surgery? Comparison between single gloves and a double-gloving system [J]. Am J Surg, 2001, 181(6): 564-566. [24] Tanner J, Parkinson H. Double gloving to reduce surgical cross-infection [J]. Cochrane Database Syst Rev, 2006, 2006(3): D3087. doi: 10.1002/14651858.CD003087. [25] Jensen SL. Defects in the surgical glove barrier. Single or double gloves [J]. Ugeskr Laeger, 2003, 165(10): 1016-1019. |
[1] | 刘凤祺,高峰,薛彩彩,乔秀梅,王金红. 高糖诱导PC12细胞损伤的影响因素及梓醇的保护作用[J]. 山东大学学报 (医学版), 2023, 61(7): 34-39. |
[2] | 程传龙,韩闯,房启迪,刘盈,杨淑霞,崔峰,刘靖靖,李秀君. 基于时空地理加权回归模型探索肺癌发病的环境影响因素[J]. 山东大学学报 (医学版), 2023, 61(4): 95-102. |
[3] | 韩璐怿,田雪莹,高琦,佘凯丽,曹云贤,魏淑淑,丁淑军,李秀君. 基于MaxEnt的山东省SFTS影响因素评估及风险区域预测[J]. 山东大学学报 (医学版), 2023, 61(4): 103-110. |
[4] | 王炯炯,王国永,朱晓艳,李玲,张娜,刘云霞. 山东省1 926例经同性传播HIV感染者治疗及时性分析[J]. 山东大学学报 (医学版), 2023, 61(1): 100-105. |
[5] | 许小芬,朱晓,马伟,李娜. 123例癌症患者癌性疼痛管理障碍的影响因素[J]. 山东大学学报 (医学版), 2022, 60(9): 119-124. |
[6] | 胥凯,韩超,丁守銮,丁璇,邢德广,王成伟. 181例高分级动脉瘤性蛛网膜下腔出血患者术前再出血的影响因素[J]. 山东大学学报 (医学版), 2022, 60(9): 97-101. |
[7] | 侯茹男,邵頔,秦廷廷,尚美美,申玉珍,孙晓杰. 山东省癌症患者烟草使用情况及影响因素分析[J]. 山东大学学报 (医学版), 2022, 60(6): 102-106. |
[8] | 赵思博,彭立,凌鸿翔. 农村老年人医疗保险参与和自杀风险的关系[J]. 山东大学学报 (医学版), 2022, 60(4): 113-118. |
[9] | 韩璇,孙秀彬,刘铱,王淑康,刘静,袁中尚,张涛,李秀君,薛付忠,刘云霞. 预防医学专业学生《卫生统计学》学习满意度评价[J]. 山东大学学报 (医学版), 2022, 60(3): 109-113. |
[10] | 苏永刚,王睿,杨同卫. 健康中国视域下老年人群自杀的影响因素及预防对策[J]. 山东大学学报 (医学版), 2022, 60(2): 8-13. |
[11] | 邹丽萍,贺玉静,谢元忠,赵建云,许春华,马永胜,李传彬,刘晓雪,刘翀,赵小冬,孙红云. 济南市1 614名HBsAg阳性产妇新生儿首针乙肝疫苗接种时间分布及影响因素[J]. 山东大学学报 (医学版), 2022, 60(11): 113-120. |
[12] | 于书卷,王美娟,陈丽,曹英娟,吕晓燕,刘雪燕,林鹏,颜景政. 老年2型糖尿病患者轻度认知功能障碍的影响因素[J]. 山东大学学报 (医学版), 2022, 60(11): 108-112. |
[13] | 王春霞,贺梦璐,王海鹏,李慧. 山东省农村地区多重慢病患者多重用药现状及影响因素分析[J]. 山东大学学报 (医学版), 2022, 60(1): 93-100. |
[14] | 王超,张艺琳,邹广顺,吕军城. 686名医学生有无自杀意念调查及影响因素分析[J]. 山东大学学报 (医学版), 2022, 60(1): 78-85. |
[15] | 毕凤英,闫冬勤,陈曦,罗丹. HIV感染者/艾滋病患者自杀死亡危险因素理论框架构建——基于扎根理论的定性研究[J]. 山东大学学报 (医学版), 2022, 60(1): 109-117. |
|