佩戴外科面罩对听觉评估没有重大影响
Ivana Folnožić1, Marija Gomerčić Palčić1,2, Matilda Sabljak2
1Division of Pulmonology, Department of Internal Medicine, Sestre Milosrdnice University Hospital Center, Zagreb, Croatia.
PeerJ
|May 28, 2024
概括
患者戴口罩在听觉过程中没有显著影响肺病学家的肺声评估. 这一发现支持继续使用口罩,以确保临床医生的安全,而不会影响呼吸检查的诊断准确性.
科学领域:
- 肺部病理学 肺部病理学
- 传染病流行病学 传染病流行病学
- 公共卫生干预 公共卫生干预
背景情况:
- 在COVID-19大流行期间,普遍佩戴口罩是关键的公共卫生措施.
- 身体检查,包括肺部听觉检查,经常在佩戴外科面罩的患者身上进行.
研究的目的:
- 调查患者戴口罩对肺病学家在听觉过程中对肺部声音的评估的影响.
- 为了确定手术口罩是否会影响肺声解释的准确性和一致性.
主要方法:
- 一个重复测量交叉设计研究涉及三个肺病学家.
- 肺科医生听取了预先验证的异常肺部声音 (延长呼吸,喘息,) 的患者,包括戴口罩和不戴口罩的患者.
- 弗莱斯卡帕 (K) 用于测量肺病学家之间的评估者间一致性.
主要成果:
- 在肺病学家对患者戴口罩和不戴口罩时的肺部声音 (正常,延长的呼吸,偶然的声音) 的评估达成一致时,没有发现显著差异.
- 在个人肺病学家之间观察到关于肺部声音评估的显著差异.
结论:
- 患者佩戴口罩并没有显著改变肺病学家对听觉肺声音评估的共识.
- 鼓励患者佩戴口罩得到支持,因为它可以提高临床医生的呼吸道感染安全,而不会影响肺部听觉的诊断准确性.
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