改良式簡易自帶可吸煙式高頻電刀在乳腺癌手術中的應用

于瑤 胡越 郝巧歆

[摘要] 目的 探討改良式簡易自帶可吸煙式高頻電刀在乳腺癌手術中的應用效果。 方法 將2019年8月至2020年10月于本院開展乳腺癌手術的50例乳腺癌患者和20名醫護人員設為對照組，術中采取普通不帶吸煙高頻電刀;將2019年8月至2020年10月于本院開展乳腺癌手術的50例乳腺癌患者和20名醫護人員設為治療組，術中采取改良式簡易自帶可吸煙式高頻電刀，比較兩組手術時間、手術間空氣菌落數與醫護人員空氣質量評分及對手術操作環境的滿意度評分情況。 結果 治療組手術時間為（94.52±11.38）min，短于對照組的（118.26±15.20）min，兩組比較，差異有統計學意義（P<0.05）。術中及手術結束時，治療組手術間空氣菌落數為（0.30±0.06）CFU/m3、（0.35±0.08）CFU/m3，低于對照組的（0.58±0.08）CFU/m3、（0.62±0.10）CFU/m3，兩組比較，差異有統計學意義（P<0.05）。治療組醫護人員空氣質量評分、對手術操作環境的滿意度評分為（1.58±0.42）分、（1.45±0.38）分，高于對照組的（0.62±0.20）分、（0.44±0.10）分，兩組比較，差異有統計學意義（P<0.05）。 結論 乳腺癌手術中采取改良式簡易自帶可吸煙式高頻電刀能縮短患者的手術時間，改善手術室空氣質量，提升醫護人員對手術操作環境的滿意度，可進一步推廣到臨床。

[關鍵詞] 乳腺癌;可吸煙式高頻電刀;手術時間;空氣菌落數

[中圖分類號] R473.6? ? ? ? ? [文獻標識碼] B? ? ? ? ? [文章編號] 1673-9701（2021）25-0176-04

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

YU Yao1? ?HU Yue2? ?HAO Qiaoxin3

1.Department of Anesthesiology， AMHT Group Aerospace 731 Hospital， Beijing? ?100074， China; 2.Department of Nephrology and Endocrinology and Metabolism， AMHT Group Aerospace 731 Hospital， Beijing? ?100074， China; 3.Department of Medical Laboratory， AMHT Group Aerospace 731 Hospital， Beijing? ?100074， China

[Abstract] 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.