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)【摘要】目的比较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并探讨其防范措施。方法实验中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中的一氧化碳、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中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(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【中图分类号】R612【文献标识码】A【文章编号】1672-5085(2013)46-0267-02Effectandprecautionoflaminarflowoperatingroomairqualityingynecologicalsurgerywithapplicationofhigh-frequencyelectricknife,ultrasonicscalpelandPKknifeZHOUHong-zhi,CHENZheng-qiong,YANGQi-qin,WANGShan,ZHOUZheng-rong(Departmentofoperatingroom,theSecondPeople′sHospitalofYibincity,Yibin644000,Sichuan)[Abstract]ObjectiveTocomparetheeffectoflaminarflowoperatingroomairqualityingynecologicalsurgerywithapplicationofhigh-frequencyelectricknife,ultrasonicscalpelandPKknife.MethodsThepreoperativeandintraoperativeindexesofaircarbonmonoxide,carbondioxide,formaldehyde,benzene,ammoniaconcentrationinlaminarflowoperatingroomwithapplicationofhigh-frequencyelectricknife,ultrasonicscalpelandPKknifeinendoscopyandopengynecologicalsurgerywereobserved.ResultsTheharmfulgasofendoscopyandopengynecologicalsurgerywithapplicationofthehighfrequencyelectricityknifeexceedsthatofultrasonicscalpelandPKknifeinlaminarflowoperatingroom(P<0.05),theharmfulgasofopengynecologicalsurgeryexceedsthatofendoscopygynecologicalsurgeryinlaminarflowoperatingroom(P<0.05),buttheharmfulgasofultrasonicscalpelandPKknifeinlaminarflowoperatingroomusedingynecologicalsurgeryisnosignificantdifferenee(P>0.05).ConclusionTheairpollutionofgynecologicalsurgeryusedultrasonicscalpelandPKknifewaslighterthanthatofhigh-frequencyelectricknifeinlaminarflowoperatingroonrTheairpollutionofendoscopygynecologicalsurgeryusedhighfrequencyelectricknife,ultrasonicscalpelandPKkn讦ewaslighterthanthatofopengynecologicalsurgeryinlaminarflowoperatingroom.【Keywords]laminarflowoperatingroomhigh-frequencyelectricknifeultrasonicscalpelPKknifeairquality随着电外科手术仪器的快速发展和医院医疗条件的不断改善，手术室医疗设备的更新也加快了，像高频电刀、超声刀、PK刀等广泛运用于手术室。大量电外科设备运用于手术中可有效缩短手术吋间、减少术中病人出血量和降低病人组织损伤，同吋给层流手术室的空气质量和医务人员的健康带来了不利的影响。为探讨高频电刀、超声刀、PK刀等广泛运用于手术室的电外科设备对手术室空气质量的影响，本实验以一氧化碳、二氧化碳、甲醛、苯、氨的浓度为观察指标,比较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程度，并且进行查找原因分析后探讨防范措施。1资料与方法1.1-般资料选择本科室层流手术室3间，手术间面积30m2,全部为万级手术间，每台手术设6个采样点。手术分为两大组(开放手术组和腔镜手术组)、大组再分为三小组(高频电刀组、超声刀组、PK刀组)。手术均选择妇科手术。高频电刀组：德国ERBE高频电刀，使用频率为40—80W功率，可以和5mm的电钩、分离钳、剪刀等连接。超声刀组:美国强生公司超晰迅超声刀，频率55.5kHz,配有5mm剪刀型刀头。PK刀组采取英国佳乐...
