药物诱导睡眠内镜对可持续性的影响:一个STROBE分析
F Carsuzaa1, S Ayraud-Thevenot2, X Dufour1
1Centre Hospitalier Universitaire de Poitiers, Service d'ORL et chirurgie cervico-faciale, Poitiers, France.
European annals of otorhinolaryngology, head and neck diseases
|October 14, 2025
概括
与一次性相比,可重复使用的纤维内镜显著减少了药物诱导睡眠内镜 (DISE) 的环境和经济影响. 这促进了可持续的医疗保健实践,而不会影响患者护理质量.
科学领域:
- 医疗器械 医疗器械
- 环境健康 环境健康
- 睡眠医学 睡眠医学
背景情况:
- 药物诱导睡眠内镜 (DISE) 是阻塞性睡眠呼吸暂停 (OSA) 的关键诊断工具.
- DISE使用一次性或可重复使用的纤维内镜,每个都有不同的环境,经济和社会影响.
- 进行比较分析对于了解这些不同类型内镜的整体影响至关重要.
研究的目的:
- 为了比较一次性与可重复使用的纤维内镜在DISE程序中的环境,经济和社会影响.
- 量化与每种类型的内镜相关的碳足迹,财务成本和医疗保健专业人士的看法.
- 为睡眠呼吸暂停诊断提供可持续实践的信息.
主要方法:
- 分析了十个DISE程序,包括环境 (碳足迹),经济 (成本) 和社会 (专业认知) 因素.
- 碳足迹计算 (kgCO2eq) 包括运输,能源消耗,废物管理,设备生产,交付和杀菌.
- 数据收集包括针对医疗保健专业人员的结构化问卷和财务成本分析.
主要成果:
- DISE (不包括内镜) 的基线碳足迹为23.95kgCO2eq.
- 一次性纤维内镜使总足迹增加到65.05千克CO2eq,而可重复使用的内镜只增加了14.18千克CO2eq.
- 每次手术成本:一次性206欧元,可重复使用的17.60欧元;专业人士喜欢可重复使用的质量和成本,但注意到消毒问题.
结论:
- 在DISE中,可重复使用的纤维内镜比一次性选择具有显著的环境和经济益处.
- 采用可重复使用的纤维内镜可以大幅减少医疗保健系统的生态足迹.
- 推广可重复使用设备可以确保高质量的患者护理,同时在医学诊断中推进环境可持续性.
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