双层手套：手套穿戴的最佳实践

为什么要使用双层手套

穿戴双层手套是使用外科手套时的建议做法，其目的在于增强对血液传染的防护能力、降低手套穿透风险。¹

外科手套穿刺和撕裂是造成手术人员接触血液的主要原因。2与仅使用单层手套相比，使用双层手套可将手套穿孔的风险降低 71%3。AORN、WHO 和 CDC 等专业机构均建议使用双层手套

在穿戴双层手套时，82% 的外层手套穿孔未被用户察觉。4 用户应尽量使用彩色内层手套，这样可将手套破裂的识别率提高到 86%。⁵

建议在所有外科手术中定期更换手套（2 小时为宜），特别在骨科手术或高风险手术中更是如此。外层手套发生穿孔时，说明内层手套同样可能失去防护能力，此时应同时更换内外层手套。⁶

使用彩色内层手套可将手套破裂的识别率提高到 86%.⁵

与仅使用单层手套相比，使用双层手套可将手套穿孔的风险降低 71%³

建议使用双层手套的专业机构

参考文献

1.   Opinion of the scientific committee on medical products and medical devices on ‘The protection offered by natural rubber latex devices (medical gloves and condoms) against transmissible diseases’. European Commission. Health & Consumer Protection Directorate-General. October 2003
2.   Clyde Smoot E. Practical Precautions for avoiding sharp injuries and blood exposure. Plast Reconstr Surg. 1998; vol. 101(2): 528-534
3.   Mischke C, Verbeek JH, Saarto A, Lavoie MC, Pahwa M, Ijaz S Gloves, extra gloves special types of gloves for preventing percutaneous exposure injuries in healthcare personnel (Review) The Cochrane Collaboration
4.   Partecke LI, Goerdt A-M, Langner I, et al. Incidence of microperforation for surgical gloves depends on duration of wear. Infect Control Hosp Epidemiol. 2009; 30:409-414
5.   Laine T, Aarnio P. How often does glove perforation occur in surgery? Comparison between single gloves and a double-gloving system. American journal of surgery 2001;181:564-6
6.   Thomas-Copeland J. Do surgical personnel really need to double glove? AORN J. 2009;89(2): 322-328.: