手术室CO2气腹污染程度及对医护人员健康的影响  

The pollution level of CO2 pneumoperitoneum in operation room and its influence on the health of medical staff

作　　者：徐晓[1] 张培培[1] 李莎[1] 陈继红[1] 

机构地区：[1]上海交通大学附属新华医院手术室,200092

出　　处：《中国实用护理杂志》2013年第5期56-59,共4页Chinese Journal of Practical Nursing

摘　　要：目的明确手术室CO2气腹的污染程度及对医护人员健康的影响，并提出一定的应对措施。方法通过4组实验，逐步证明手术室中气腹机的使用是否会对手术室空气造成污染，并且对医护人员的健康产生影响。4项实验分别为：CO2气体最大泄漏实验；开腹手术与气腹手术的手术室空气CO2气体浓度对照实验；CO2气体浓度升高对医护人员的影响实验；长时间气腹手术手术室CO2气体浓度变化实验。结果CO2气体的最大泄漏情况，可以引起手术室内CO2气体浓度升高（〉1000×10-6）。气腹机在实际使用过程中，可以引起手术室CO2气体浓度升高。CO2气体浓度升高，对于医护人员的生命体征产生了影响，术后心率及血压较术前比较差异有统计学意义。长时间进行气腹手术时，手术室内CO2气体浓度长时间增高（〉1000×10-6）并且在术后迅速降低。结论手术室内CO2气腹机的使用，会对手术室的医护人员的健康产生影响。应对气体污染采取有效的防护措施，以减少对医护人员的慢性伤害。Objective The purpose of this study is to define the pollution level of CO2 pneumoperi- toneum in operation room and its influence on the health of medical personnel, and put forward certain Methods This research consisted of four groups of experiments, and gradually proved that the use of pneumoperitoneum machine would lead to air pollution in the operation room, and the health of medical staff were influenced too. The four experiments were： the maximum CO2 gas leakage experiment; laparotomy and pneumoperitoneum surgery in the operating room CO2 gas concentration control experiment; CO2 gas concentration increase on the influence of the medical staff experiment; long-time pneumoperi- toneum surgery operating room CO2 gas concentration change experiment. Results The maximum CO2 gas leakage situation could cause the operation room CO2 gas concentration to increase（〉1000×l0-6）; pneu- moperitoneum machine in actual use process, could cause the increase of CO2 gas concentration in operation room; increase of CO2 gas concentration had an impact on the vital signs of the medical staff, the heart rate and blood pressure were statistically different before and after the operation; during pneumoperitoneum surgery for a long time, indoor CO2 gas concentration increased （〉1000×10-6）and reduced quickly postoper- ation. Conclusions The use of CO2 pneumoperitoneum machine in operation room influence the health of medical personnel. Effective protective measures dealing with gas pollution should be taken to reduce the chronic injury to medical staff.

关 键 词：气腹机 CO2气体 医护人员 

分 类 号：R197[医药卫生—卫生事业管理]