一次性输液管排烟雾法在腔镜手术中的应用  

Application of disposable infusion tube exhaust smoke method in endoscopic surgery

作　　者：吴小凤 黄晓明 詹芳 肖欢 WU Xiao-feng;HUANG Xiao-ming;ZHAN Fang;XIAO Huan(Operating Room,Pingxiang Mining Group General Hospital,Jiangxi Province,Pingxiang337000,China)

机构地区：[1]江西省萍乡矿业集团有限责任公司总医院手术室,江西萍乡337000

出　　处：《中国当代医药》2020年第19期224-227,共4页China Modern Medicine

基　　金：江西省萍乡市医药卫生计生新技术引进项目(2017136)。

摘　　要：目的探讨一次性输液管排烟雾法在腹腔镜肠癌根治术中的临床应用效果。方法选取2016年3月~2018年11月我院择期行腹腔镜肠癌根治术的50例患者为研究对象,采用随机数字表法将其分为对照组和观察组,每组各25例。两组均行常规腹腔镜肠癌根治术治疗,对照组术中采取传统排烟雾法,观察组术中采取一次性输液管排烟雾法。比较两组的手术情况、术中图像清晰度、术中CO2浓度、主刀医师满意度及手术前后手术室空气洁净度。结果观察组的手术总时间短于对照组,术中出血量少于对照组,差异均有统计学意义(P<0.05);观察组术中图像清晰度评分和主刀医师满意度评分高于对照组,术中CO2浓度低于对照组,差异均有统计学意义(P<0.05);观察组术后直径0.3、0.5、1.0、3.0、5.0μm尘埃数量低于对照组,差异均有统计学意义(P<0.05)。结论一次性输液管排烟雾法能保障手术连贯性,缩短手术时间,提高图像清晰度和手术室空气洁净度,值得临床推荐。Objective To explore the clinical application effect of one-time infusion tube smoke exhaust method in endoscopic surgery.Methods From March 2016 to November 2018,50 patients who were scheduled to undergo laparoscopic surgery in our hospital were selected as the study objects.They were divided into control group and observation group by random number table method,25 cases in each group.Patients in both groups were treated with conventional laparoscopic radical surgery for colorectal cancer,while patients in the control group were treated with traditional smoke exhaust method,while patients in the observation group were treated with one-off infusion tube smoke exhaust method.The operation condition,image definition,CO2 concentration,surgeon satisfaction and air cleanliness before and after operation were compared between the two groups.Results The total time of operation in the observation group was shorter than that in the control group,and the amount of bleeding was less than that in the control group,the differences were statistically significant(P<0.05).The scores of intraoperative image definition and surgeon satisfaction in the observation group were higher than those in the control group,the intraoperative CO2 concentration was lower than that of the control group,the differences were statistically significant(P<0.05).The number of dust particles with diameter of 0.3,0.5,1.0,3.0 and 5.0μm in the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).Conclusion The method of one-time infusion pipe exhaust smoke can ensure the continuity of operation,shorten the operation time,improve the image clarity and the air cleanliness of the operating room,which is worthy of clinical recommendation.

关 键 词：腔镜手术 一次性输液管排烟雾法 图像清晰度 空气洁净度 

分 类 号：R472[医药卫生—护理学]