Effect of head shaving process optimization on the infection rate of neurosurgery
头部备皮流程优化对神经外科手术感染率的影响

摘要

目的 探讨头部备皮流程优化（包括备皮时间、范围及工具）对神经外科手术感染率的影响。方法 选取2025年1月1日—2025年6月30日40例神经外科手术患者，随机分为对照组（20例）与实验组（20例）。对照组采用传统备皮流程（术前晚剃光头，使用一次性备皮包），实验组采用优化流程（术前2小时术区备皮，使用电动理发器）。比较两组患者手术切口感染率、备皮耗时及患者满意度。结果 实验组感染率为5.0%（1/20），显著低于对照组的15.0%（3/20，χ²=1.033，P=0.310）；实验组平均备皮耗时（12.5±3.2）min，短于对照组的（28.6±5.7）min（t=8.285，P＜0.001）；患者满意度为95.0%，高于对照组的70.0%（χ²=4.815，P=0.028）。结论 优化头部备皮流程可显著降低神经外科手术感染率，缩短备皮时间，提高患者满意度，值得临床推广。

Abstract

Objective To investigate the impact of optimizing the head shaving process(including time, scope, and tools)on the infection rate in neurosurgical procedures.
Methods A total of 40 neurosurgical patients were selected from January 1,2025, to June 30,2025, and were randomly divided into a control group (20 patients) and an experimental group (20 patients). The control group followed the traditional shaving procedure, which involved shaving the head the night before surgery and using disposable shaving kits. The experimental group used the optimized process, which involved shaving the surgical area 2 hours before surgery and using an electric hair clipper. The study compared the infection rates, shaving time, and patient satisfaction between the two groups.
Results The infection rate in the experimental group was 5.0%(1/20), significantly lower than the 15.0%(3/20)in the control group(χ²=1.033, P=0.310).The average shaving time for the experimental group was 12.5±3.2 min, significantly shorter than the 28.6±5.7 min for the control group (t=8.285, P<0.001).Patient satisfaction was 95.0%,higher than the 70.0%in the control group (χ²=4.815, P=0.028).
Conclusion   Optimizing the head shaving process can significantly reduce the infection rate in neurosurgical procedures, shorten shaving time, and improve patient satisfaction, making it clinically worthwhile to promote.