您的位置：山东大学 -> 科技期刊社 -> 《山东大学学报（医学版）》

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

• • 上一篇    下一篇

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

PDF (PC)

64

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.
[1] 孙佳丽,王亮,王长凤,张杰,郭磊. Klippel-Trenaunay综合征儿童情绪与行为特征及其影响因素[J]. 山东大学学报 (医学版), 2026, 64(3): 78-82.
[2] 宋一鸣,王佳丰,韩晓娟,杜怡峰. 脑维持与认知功能:测量、影响因素和机制[J]. 山东大学学报 (医学版), 2026, 64(1): 1-7.
[3] 徐欣颖,颜伟,石兴龙,岳芳,吕婧,乔颖异,张宇琦,程传龙,左慧,李秀君. 山东省滨州市手足口病的流行特征及影响因素[J]. 山东大学学报 (医学版), 2026, 64(1): 118-125.
[4] 孙爽爽,仉率杰,张伯韬,袁莹,于媛媛,薛付忠. 基于真实世界研究的18~50岁人群急性缺血性卒中影响因素[J]. 山东大学学报 (医学版), 2025, 63(9): 40-46.
[5] 王宁,郝秀梅,牛翔,黄金明,徐静雅. 中国中老年高血糖、血脂异常、高血压人群健康体检服务利用现状及影响因素[J]. 山东大学学报 (医学版), 2025, 63(7): 82-91.
[6] 张永媛,王清亮,连雪洪. 山东省某三级综合医院罕见病患者住院费用结构变动情况及影响因素[J]. 山东大学学报 (医学版), 2025, 63(5): 111-119.
[7] 陈瑛翼,游倩,王意,张帆,李凤,季舒铭,徐浩源,饶志勇. 办公室职员肌肉质量减少预测模型的开发与验证[J]. 山东大学学报 (医学版), 2025, 63(4): 26-35.
[8] 刘国伟,翟艳,王薇,吕军城. 潍坊市某城区65岁及以上老年人社会适应能力现状及其影响因素[J]. 山东大学学报 (医学版), 2025, 63(2): 104-110.
[9] 穆弘杰,卢伟,吕军城. 居民抑郁、焦虑症状和心理健康素养现况及影响因素分析[J]. 山东大学学报 (医学版), 2025, 63(12): 105-111.
[10] 刘峰,马彩霞,李春燕,程海英,靳乐雨,刘仲,李学文. 2023年11月流感高峰期济南市大学生流感样病例发生情况及影响因素[J]. 山东大学学报 (医学版), 2024, 62(7): 91-97.
[11] 景睿,张文茜,董卉,董怡然,于胜男,段勇,闫芹,赵传禄,李秀君,汪卫兵. 济南市大一新生结核病防治知信行现状及行为影响因素[J]. 山东大学学报 (医学版), 2024, 62(2): 101-107.
[12] 冯绪强,高萍,孙超,陶琳,闫根全,冷冰. 替加环素治疗感染性疾病临床疗效及影响因素[J]. 山东大学学报 (医学版), 2024, 62(12): 11-20.
[13] 于菲萍,李鑫,司明舒,张丹,苏永刚. 医学生医养结合认知程度与养老就业意愿[J]. 山东大学学报 (医学版), 2024, 62(11): 105-114.
[14] 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.
[15] 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.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
版权所有 © 2018 《山东大学学报(医学版)》编辑部　
地址:山东大学科技期刊社（济南市历城区山大南路27号山东大学中心校区明德楼B座721室） 电话: 0531-88366918 E-mail: xbyxb@sdu.edu.cn
本系统由北京玛格泰克科技发展有限公司设计开发