腹腔镜手术室CO_2浓度对医护人员健康的影响  

Effects of CO_2 in Laparoscopic Operating Rooms on the Health of Medical Staff

作　　者：张咏琴[1] 彭蕾[1] 马莉[1] 李佳[1] 

机构地区：[1]云南省第一人民医院麻醉手术科,云南昆明650032

出　　处：《昆明医科大学学报》2015年第2期167-170,共4页Journal of Kunming Medical University

基　　金：云南省教育厅科学研究基金资助项目(2012Y549)

摘　　要：目的探讨腹腔镜手术室内CO2浓度对医护人员健康的影响.方法本研究将60名手术室护士随机分为开腹手术组和腔镜手术组,分别于术前及术后对2组人员测量生命体征、检测动脉血气、评价疲倦程度,并采用便携式红外线CO2分析仪检测手术室内不同时刻CO2浓度.结果腔镜手术室内CO2浓度于手术30 min时升高,术中维持较高水平,于手术结束时达最高值;与本组术前和开腹手术组相比,腔镜手术组人员手术后心率和呼吸频率明显增快,p H降低,PCO2升高,且疲倦严重度评分显著增加(P<0.05).结论腔镜手术造成手术室内CO2污染,危害医护人员身心健康,应予以重视.Objective To evaluate the effects of CO2 in laparoscopic operating rooms on the health of medical staff. Methods 60 medical staffs were divided into two groups： laparoscopic surgery and traditional surgery. Vital signs, arterial blood gas analysis,fatigue severity scale and the level of CO2 in operating rooms were recorded.Results The level of CO2 in laparoscopic operating room increased rapidly at 30 minute of the operations and reached the highest level at the end of the operations. Compared with the traditional surgery group and the preoperative level in the same group,heart rates,respiration rates and PCO2 in the laparoscopic surgery raised greatly, while p H decreased. Conclusion Laparoscopic operation may cause the CO2 pollution in the operating rooms which is harmful to medical staffs＇ physical and mental health.

关 键 词：腹腔镜手术 手术室 二氧化碳 医护人员 健康 

分 类 号：R47[医药卫生—护理学]