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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

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141例龈下刮治术中手套穿孔情况及其影响因素

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   

  1. 1.山东大学齐鲁医学院口腔医学院·口腔医院医院感染管理部, 山东 济南 250012;2.山东宏润空压机科技有限公司, 山东 淄博 255000;3.山东大学齐鲁医学院口腔医学院·口腔医院医务部, 山东 济南 250012;4.山东大学齐鲁医学院口腔医学院·口腔医院急诊科, 山东 济南 250012;5.山东大学齐鲁医学院口腔医学院·口腔医院牙周病科, 山东 济南 250012
  • 发布日期:2023-11-08
  • 通讯作者: 杨传景. E-mail: sddxkqyyycj@163.com吴倩. E-mail:WQ_8282@163.com
  • 基金资助:
    山东省科技型中小企业创新能力提升工程(2022TSGC2268);山东省卫生健康委员会医疗质量管理工作项目(2020-11)

Glove perforation and its influencing factors in 141 cases of subgingival scaling

JIANG Lili1, CHEN Peng1, XU Xinyang1, ZHANG Xiaorong1, MENG Qiuyu2, QI Dong3, YANG Chuanjing4, WU Qian5   

  1. 1. Department of Healthcare-associated Infection Management, School and Hospital of Stomatology, Cheeloo College of Medicine, Shandong University, Jinan 250012, Shandong, China;
    2. Shandong Hongrun Compresssor Technology Company Limited, Zibo 255000, Shandong, China;
    3. Medical Department, School and Hospital of Stomatology, Cheeloo College of Medicine, Shandong University, Jinan 250012, Shandong, China;
    4. Department of Emergency, School and Hospital of Stomatology, Cheeloo College of Medicine, Shandong University, Jinan 250012, Shandong, China;
    5. Department of Periodontology, School and Hospital of Stomatology, Cheeloo College of Medicine, Shandong University, Jinan 250012, Shandong, China
  • Published:2023-11-08

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。

关键词: 手套, 穿孔, 龈下刮治, 影响因素

Abstract: Objective To investigate incidence of perforation of gloves occurred in subgingival scaling and to explore the influencing factors. Methods Gloves used in subgingival scaling were collected in the Department of Periodontology of a stomatological hospital from July 2021 to February 2022, and glove perforation was tested with the impermeability test. A general information questionnaire was used to collect information of glove users. SPSS 25.0 statistical software was used for statistical description. Chi-square test, independent-sample t-test or Fisher exact probability method and Mann-Whiney U test were used to analyze glove perforation and the influencing factors. Results A total of 25 cases of perforation occurred in 141 pairs of gloves, and the incidence of perforations was 14.9%(21/141). Glove perforation occurred mostly in the right-hand, accounting for 64.0%(16/25), especially on the right index finger(6 cases)and right palm(4 cases). There was significnat difference in the operation time(U=767.500, P=0.004). Conclusion The incidence of glove perforation in subgingival scaling is high, and most perforation sites are the right index finger and palm. Operation time is a significant influencing factor of glove perforation.

Key words: Gloves, Perforation, Subgingival scaling, Influencing factors

中图分类号: 

  • R184.6
[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.
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