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

于瑶 胡越 郝巧歆

[摘要] 目的 探討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。

[关键词] 乳腺癌;可吸烟式高频电刀;手术时间;空气菌落数

[中图分类号] R473.6          [文献标识码] B          [文章编号] 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.