防护设备改进在降低外科手术烟雾危害性的效果分析

Effect Analysis of Improvement of Protective Equipment in Reducing the Smoke Harm of Surgical Operation

目的:探讨外科手术运用防护设备在改善烟雾危害方面的作用。方法:回顾分析医院218名外科手术烟雾暴露环境中的医疗人员具体情况,2015年3月~2016年8月采取通过普通防护设备,2016年10月~2017年3月运用改进防护设备,比较运用前后医务人员烟雾刺激疼痛数字评分。结果:设备改良后,烟雾疼痛刺激总分(3.53±0.85)、医师刺激疼痛评分(3.73±0.86)、麻醉医师刺激疼痛评分(3.65±0.78)分、手术护士刺激疼痛评分(3.20±0.68)分、其他医疗人员刺激疼痛评分(3.02±0.67)分均低于改良前(5.21±0.87)分、(5.73±0.68)分、(5.21±0.72)分、(4.24±0.71)分、(4.32±0.82)分,且对比P<0.05。结论:将改进的烟雾防护设备运用于外科手术中,能够降低医务人员烟雾刺激疼痛数字评分,该设备值得在临床上推广和使用。

Objective：To discuss the role of using protective equipment in surgical operation for improving smoke harm.Methods：Retrospective analysis of specific situations of 218 medical personnel who were in surgical smoke exposure.From March 2015 to August 2016 ordinary protective equipment was taken by ordinary protective equipment,from October 2016 to March 2017 the improved protective equipment was used,and compared the score of the pain of medical staff stimulated by smoke before and after using the protective equipment.Results：After the improvement of the equipment,total scores of smoke pain stimulation（3.53±0.85）,doctors stimulation pain score（3.73±0.86）,anesthesiologists stimulation pain score（3.65±0.78）,surgery nurse stimulation pain score（3.20±0.68）and other medical personnel stimulation pain score（3.02＋0.67）were all lower than that before modified（5.21±0.87）,（5.73±0.68）,（5.21±0.72）,（4.24±0.71）,（4.32±0.82）,and contrast P0.05.Conclusion：The use of improved smoke protective equipment in the surgical operation,can reduce the medical staff smoke stimulation Pain digital score,and the equipment is worthy of clinical promotion and use.