妇科手术中应用高频电刀、超声刀、PK刀对层流手术室空气质量的影响和防范.docVIP

精品论文 参考文献 妇科手术中应用高频电刀、超声刀、PK刀对层流手术室空气质量的影响和防范 周鸿志 陈正琼 杨其琴 王珊 周正容 (四川省宜宾市第二人民医院手术室 四川宜宾 644000) 　　【摘要】 目的 比较妇科手术中应用高频电刀、超声刀、PK刀对层流手术室空气质量的影响并探讨其防范措施。方法 实验中妇科手术在层流手术室进行，对腔镜手术和开放手术应用高频电刀、超声刀、PK刀在术前与术毕层流手术室空气中的一氧化碳、二氧化碳、甲醛、苯、氨五个指标的浓度进行观察比较。 结果 在层流手术室，腔镜和开放妇科手术中应用高频电刀空气有害气体超标情况较超声刀和PK刀高（Plt;0.05）,开放妇科手术空气有害气体超标情况较腔镜手术高（Plt;0.05），但超声刀和PK刀比较无明显差异（Pgt;0.05）。结论 层流手术室妇科手术应用超声刀、PK刀较高频电刀空气污染轻，腔镜妇科手术应用高频电刀、超声刀、PK刀较开放妇科手术空气污染轻。 　　【关键词】层流手术室 高频电刀 超声刀 PK刀 空气质量 　　【中图分类号】R612 【文献标识码】A 【文章编号】1672-5085（2013）46-0267-02 　　Effect and precaution of laminar flow operating room air quality in gynecological surgery with application of high-frequency electric knife, ultrasonic scalpel and PK knife 　　ZHOU Hong-zhi, CHEN Zheng-qiong, YANG Qi-qin, WANG Shan, ZHOU Zheng-rong 　　(Department of operating room,the Second Peopleprime;s Hospital of Yibin city,Yibin 644000, Sichuan) 　　【Abstract】Objective To compare the effect of laminar flow operating room air quality in gynecological surgery with application of high-frequency electric knife, ultrasonic scalpel and PK knife. Methods The preoperative and intraoperative indexes of air carbon monoxide, carbon dioxide, formaldehyde, benzene, ammonia concentration in laminar flow operating room with application of high-frequency electric knife, ultrasonic scalpel and PK knife in endoscopy and open gynecological surgery were observed.Results The harmful gas of endoscopy and open gynecological surgery with application of the high frequency electricity knife exceeds that of ultrasonic scalpel and PK knife in laminar flow operating room (Plt;0.05), the harmful gas of open gynecological surgery exceeds that of endoscopy gynecological surgery in laminar flow operating room (Plt;0.05), but the harmful gas of ultrasonic scalpel and PK knife in laminar flow operating room used in gynecological surgery is no significant difference (Pgt;0.05). Conclusion The air pollution of gynecological surgery