手动和机器人TJA产生的噪音量是否不同?
John D D Higgins1, Nabil Mehta2, Vasili Karas1
1Department of Orthopedic Surgery Rush University Medical Center, 1611 W Harrison St., Chicago, IL 60612, USA.
The Knee
|July 23, 2025
概括
在全关节整形术 (TJA) 期间暴露于噪音是显著的,但手动或机器人技术都没有超过职业安全和健康管理局 (OSHA) 对峰值声压或8小时时间加权平均值的限制.
科学领域:
- 整形外科手术 整形外科手术
- 手术技术 手术技术
- 职业健康 职业健康 职业健康
背景情况:
- 整体关节整形术 (TJA) 期间的外科手术噪音水平没有得到很好的描述.
- 了解噪音暴露对于外科医生和工作人员的安全至关重要.
研究的目的:
- 为了比较手动与机器人辅助TJA过程中产生的噪声水平.
- 为了确定手术噪声是否超过职业安全卫生管理局 (OSHA) 的行动限制.
主要方法:
- 用初级外科医生佩戴的个人剂量计记录了分贝 (dB) 的水平.
- 手动和机器人辅助全关节整形术 (THA) 和全膝关节整形术 (TKA) 程序都受到监控.
- 连续 (LAeq) 和峰值 (LCPeak) 分贝水平被捕获,并计算了8小时的时间加权平均值 (TWA).
主要成果:
- 在所有TJA程序中,噪声水平显著,平均LAeq在69.7至71.4dB之间.
- 在任何一个组中,峰值声压水平都没有超过OSHA的限值.
- 手动THA的平均LCPeak值高于机器人THA (P=0.01),而TKA没有显著差异.
结论:
- 无论手术技术如何,TJA外科医生都会经历大量的噪音暴露.
- 无论是手动技术还是机器人技术都没有导致噪音水平超过OSHA对峰值和TWA暴露的安全值.
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