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在手术室工作的医疗保健专业人员中评估螺旋计肺功能:一个比较的横截面研究
J B Ibrahim1, I A Ali2, M A Mohammed2
1Department of Physiology, Faculty of Medicine, Karary University, Omdurman, Sudan.
African journal of thoracic and critical care medicine
|October 6, 2025
概括
由于职业暴露,手术室工作人员的肺功能下降. 随着员工经验的增加,肺功能测试 (PFT) 值下降,突出了资源有限的环境中的风险.
科学领域:
- 职业健康 职业健康 职业健康
- 肺部病理学 肺部病理学
- 环境医学 环境医学
背景情况:
- 手术室将工作人员暴露在吸入的危险物质中,如麻醉气体和手术烟雾.
- 这些暴露会对肺功能和呼吸系统健康产生负面影响.
- 资源有限的环境可能缺乏足够的呼吸道保护措施.
研究的目的:
- 为了评估手术室工作人员的肺功能测试 (PFT) 值.
- 为了比较暴露人员的PFT与匹配的未暴露队列.
- 评估经验对这一群体肺功能的影响.
主要方法:
- 一项涉及184名参与者 (暴露和未暴露) 的比较横截面研究.
- 通过问卷收集的数据;计算了PFT,包括强制生命能力 (FVC),1秒内强制呼气体积 (FEV1),FEV1/FVC比率和峰值呼气流量 (PEFR).
- 统计分析包括曼-惠特尼U,克鲁斯卡尔-瓦利斯,斯皮尔曼和多重线性回归.
主要成果:
- 与未暴露组相比,手术室工作人员的PFT值 (FEV1,FVC,PEFR,FEV1/FVC比率) 显著较低 (p<0.05).
- 随着工作人员经验/暴露时间的增加,肺功能指标显著下降 (p=0.001).
- 理护士和助理的PFT值明显低于其他医疗保健组 (p=0.001).
结论:
- 在手术室的医疗人员的肺功能明显比未暴露的个体差.
- 随着长时间的暴露和在手术室环境中的经验,肺功能会恶化.
- 实施强有力的职场健康和安全程序至关重要,特别是在资源有限的环境中.
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