层流手术室妇科腹腔镜接台手术空气质量分析与控制

Analysis and control of air quality of gynecological laparoscopic surgery in laminar flow operation room

目的:探讨层流手术室妇科腹腔镜接台手术空气质量分析与控制效果。方法:选择进行腹腔镜诊治的妇科患者400例作为研究对象,按收治前后顺序分为对照组123例、观察组277例;观察组选择垂直型层流手术室进行空气净化管理,对照组选择室内空气净化机进行空气净化管理,记录两组净化效果与妇科手术医院感染发生情况。结果:净化260 min后观察组与对照组的自然菌消亡率分别为92.4%和81.3%,观察组优于对照组(P<0.05);观察组与对照组的医院感染发生率分别为0.36%和3.25%,观察组的医院感染发生率低于对照组(P<0.05)。结论:层流手术室在妇科腹腔镜接台手术空气质量中的应用能提高自然菌净化效果,减少医院感染发生率,有较好的应用效果。

Objective：To explore the air quality analysis and control effect of gynecological laparoscopic surgery in laminar operation room.Methods：400 cases of gynecological patients who underwent laparoscopic diagnosis and treatment were selected as the subjects and divided into the control group（123 cases） and observation group（277 cases） according to the admission order.The observation group was treated in vertical laminar flow operating room for disinfection management,and the control group was treated with indoor air purification machine for disinfection management.The effect of disinfection and nosocomial infection in the two groups were recorded.Results：The natural bacteria mortality rates in the observation group and the control group were 92.4 % and 81.3 % respectively after 260 minutes of disinfection,and there was significant difference between the two groups（P〈0.05）.The incidences of nosocomial infection in the observation group and the control group were 0.14 % and 0.57% respectively,and there was significant difference between the two groups（P〈0.05）.Conclusion：The application of laminar flow operation room in gynecological laparoscopic surgery can improve the disinfection effect of natural bacteria,reduce the incidence of nosocomial infection,and have a good application effect.