改良式简易自带可吸烟式高频电刀在乳腺癌手术中的应用  

Application of modified simple self-contained smokable high frequency electrotome in breast cancer surgery

作　　者：于瑶 胡越 郝巧歆 YU Yao;HU Yue;HAO Qiaoxin(Department of Anesthesiology,AMHT Group Aerospace 731 Hospital,Beijing100074,China;Department of Nephrology and Endocrinology and Metabolism,AMHT Group Aerospace 731 Hospital,Beijing100074,China;Department of Medical Laboratory,AMHT Group Aerospace 731 Hospital,Beijing100074,China)

机构地区：[1]中国航天科工集团七三一医院麻醉科,北京100074 [2]中国航天科工集团七三一医院肾病内分泌代谢科,北京100074 [3]中国航天科工集团七三一医院医学检验科,北京100074

出　　处：《中国现代医生》2021年第25期176-179,共4页China Modern Doctor

摘　　要：目的探讨改良式简易自带可吸烟式高频电刀在乳腺癌手术中的应用效果。方法将2019年8月至2020年10月于本院开展乳腺癌手术的50例乳腺癌患者和20名医护人员设为对照组,术中采取普通不带吸烟高频电刀;将2019年8月至2020年10月于本院开展乳腺癌手术的50例乳腺癌患者和20名医护人员设为治疗组,术中采取改良式简易自带可吸烟式高频电刀,比较两组手术时间、手术间空气菌落数与医护人员空气质量评分及对手术操作环境的满意度评分情况。结果治疗组手术时间为(94.52±11.38)min,短于对照组的(118.26±15.20)min,两组比较,差异有统计学意义(P<0.05)。术中及手术结束时,治疗组手术间空气菌落数为(0.30±0.06)CFU/m3、(0.35±0.08)CFU/m3,低于对照组的(0.58±0.08)CFU/m3、(0.62±0.10)CFU/m3,两组比较,差异有统计学意义(P<0.05)。治疗组医护人员空气质量评分、对手术操作环境的满意度评分为(1.58±0.42)分、(1.45±0.38)分,高于对照组的(0.62±0.20)分、(0.44±0.10)分,两组比较,差异有统计学意义(P<0.05)。结论乳腺癌手术中采取改良式简易自带可吸烟式高频电刀能缩短患者的手术时间,改善手术室空气质量,提升医护人员对手术操作环境的满意度,可进一步推广到临床。Objective To explore the application effect of modified simple self-contained smokable high-frequency electrotome in breast cancer surgery.Methods A total of 50 patients with breast cancer surgery and 20 medical staff in our hospital from August 2019 to October 2020 were set as the control group.The common non-smokable high-frequency electrotome was used during the operation.Another 50 patients with breast cancer surgery and 20 medical staff in our hospital from August 2019 to October 2020 were set as the treatment group.During the operation,modified simple smokable high-frequency electrotome was adopted.The operation time,the number of air colony in the operation room,the air quality score and the satisfaction score of medical staff with the operation environment were compared between the two groups.Results The operation time of the treatment group was(94.52±11.38)min,which was shorter than that of the control group(118.26±15.20)min,with statistically significant difference(P<0.05).During and at the end of the operation,the number of air colony in the operating room of the treatment group was(0.30±0.06)CFU/m3 and(0.35±0.08)CFU/m3,respectively,which were lower than that of the control group[(0.58±0.08)CFU/m3 and(0.62±0.10)CFU/m3],The difference between the two groups was statistically significant(P<0.05).The air quality score and satisfaction score of the medical staff in the treatment group were(1.58±0.42)points and(1.45±0.38)points,which were higher than those in the control group[(0.62±0.20)points and(0.44±0.10)points],The differences in air quality score and satisfaction score of the medical staff between the two groups(P<0.05).Conclusion Modified simple smokable high-frequency electrotome can shorten the operation time of patients with breast cancer surgery,improve the air quality in the operating room,and enhance the satisfaction of medical staff with the operating environment,which can be further used in clinical practice.

关 键 词：乳腺癌 可吸烟式高频电刀 手术时间 空气菌落数 

分 类 号：R473.6[医药卫生—护理学]