在整形外科手术室的噪音水平和噪音引起的听力损失:系统性审查
Casey J Powell1, Anna Y Huang2, John Cyrus2
1Duke University, Durham, North Carolina.
JB & JS open access
|March 6, 2026
概括
骨科专业人员面临着严重的噪音暴露风险,导致噪音引起的听力损失 (NIHL). 与其他方法不同的是,定制的听力保护有效地减少了这种风险,同时保持了通信.
科学领域:
- 整形外科手术 整形外科手术
- 职业健康 职业健康 职业健康
- 听力学 听力学是指听力学.
背景情况:
- 骨科人员经常接触到手术工具带来的危险噪音水平.
- 这种暴露显著增加了噪音引起的听力损失 (NIHL) 的风险.
- 针对NIHL的预防措施在手术室中未得到充分利用.
研究的目的:
- 评估骨科人员中NIHL的患病率.
- 评估骨科手术室内手术期间的噪音水平.
- 为了确定各种听力保护措施的有效性.
主要方法:
- 对2025年7月21日之前发表的研究进行系统审查.
- 在PubMed/Medline,Ovid Embase和CENTRAL (Cochrane) 中进行的搜索.
- 包括34项符合NIHL流行,风险和预防的具体标准的研究.
主要成果:
- 在审查的研究中,NIHL存在于17%的参与者中.
- 在75种手术仪器中,有56种超出了NIOSH A-weighted噪声限值.
- 在部和膝盖关节整形术期间,噪音水平是不安全的,特别是在机器人协助下.
结论:
- 骨科人员面临NIHL的高风险,特别是在机器人手术期间.
- 使用通讯过器定制的听力保护是有效的.
- 建议使用更安静的设备和例行听力测试以预防.
相关概念视频
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Heart sounds are generated by the turbulence in blood flow due to the closing of heart valves. These sounds are best perceived slightly away from the valves, where the blood flow disseminates the sound.
Auscultation is the process of listening to these internal body sounds using a stethoscope. The heart produces four types of sounds, but only two—S1 and S2—can usually be heard with a stethoscope.
S1, also known as the "lub" sound, is caused by the closure of atrioventricular (A-V) valves at the...
Auscultation is the process of listening to these internal body sounds using a stethoscope. The heart produces four types of sounds, but only two—S1 and S2—can usually be heard with a stethoscope.
S1, also known as the "lub" sound, is caused by the closure of atrioventricular (A-V) valves at the...
Respiratory System Abnormal Finding II: Palpation and Auscultation
In assessing respiratory abnormalities, palpation and auscultation are critical tools for detecting and interpreting various pathophysiological changes. These techniques provide insight into underlying disorders by evaluating tactile sensations and sounds produced by the respiratory system.
Palpation Findings
During a respiratory assessment, palpation can reveal several vital abnormalities:
Palpation Findings
During a respiratory assessment, palpation can reveal several vital abnormalities:
Cardiovascular System Abnormal Findings II: Auscultation
Auscultation, an essential part of a heart examination, is done using a stethoscope. It provides crucial information about heart function and possible heart problems. Due to heart problems, abnormal sounds can be heard during systole or diastole. These sounds include S3 and S4 gallops, opening snaps, systolic clicks, and murmurs.
Abnormal Heart Sounds
Gallops:
Abnormal Heart Sounds
Gallops:


