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1、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)【】目的比较妇科手术屮应用高频电刀、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。方法实验屮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屮的一氧化碳、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屮应用高频电刀空气有害气体超标情况较超声刀和PK刀高(P<0.05)，开放妇科手术空气有害气体超标情况较腔镜手术高(
2、P<0.05),但超声刀和PK刀比较无明显差异(P>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【屮图分类号】R612【】A【】1672-5085(2013)46-0267-02Effectandprecautionoflaminarflowoperatingroomairqualityingynecologicalsurgerywithapplicationofhigh-frequencyelectricknife,
3、ultrasonicscalpelandPKknifeZHOUHong-zhi,CHENZheng-qiong,YANGQi-qin,WANGShan,ZHOUZheng-rong(Departmentofoperatingroom,theSecondPeople′sHospitalofYibincity,丫ibin644000,Sichuan)【Abstract】ObjectiveTocomparetheeffectoflaminarflowoperatingroomairqualityingynecologicalsurgerywithapplicatio
4、nofhigh-frequencyelectricknife,ultrasonicscalpelandPKknife.MethodsThepreoperativeandintraoperativeindexesofaircarbonmonoxide,carbondioxide,formaldehyde,benzene,ammoniaconcentrationinlaminarflowoperatingroomwithapplicationofhigh-frequencyelectricknife,ultrasonicscalpelandPKknifeinendoscopy
5、andopengynecologicalsurgerywereobserved.ResultsTheharmfulgasofendoscopyandopengynecologicalsurgerywithapplicationofthehighfrequencyelectricityknifeexceedsthatofultrasonicscalpelandPKknifeinlaminarflowoperatingroom(P<0.05),theharmfulgasofopengynecologicalsurgeryexceedsthatofendoscopygyn
6、ecologicalsurgeryinlaminarflowoperatingroom(P<0.05),buttheharmfulgasofultrasonicscalpelandPKknifeinlaminarflowoperatingroomusedingynecologicalsurgeryisnosignificantdifference(P>0.05).ConclusionTheairpollutionofgynecologicalsurgeryusedultrasonicscalpelandPKknifewaslighterthanthatofhi
7、gh-frequencyelectricknifeinlaminarflowoperatingroom.Theairpollutionofendoscopygynecologicalsurgeryusedhighfrequencyelectricknife,ultrasonicscalpelandPKknifewaslighterthanthatofopengynecologicalsurgeryinlaminarflowoperatingroom.【Keywords】laminarflowoperatingroomhigh-
