054CARCINOGENESIS,TERATOGENESIS&MUTAGENESIS检测研究癌变畸变突变Vol.35No.1Jan.2023收稿日期:2022-07-12;修订日期:2022-12-15作者信息:吴孟勋,E-mail:376484269@qq.com。*通信作者,袁占鹏,E-mail:zpyuan@whu.edu.cn外科电刀操作产生的烟雾对手术室PM2.5和PM10浓度的影响吴孟勋1,2,张婷2,罗兰2,孔庆洋2,袁占鹏1,*(1.武汉大学公共卫生学院,湖北武汉430071;2.中国科学技术大学附属第一医院中心手术室二部,安徽合肥230001)PM2.5andPM10concentrationsinoperatingroomsduetoelectrosurgicalknifeusageWUMengxun1,2,ZHANGTing2,LUOLan2,KONGQingyang2,YUANZhanpeng1,*(1.SchoolofPublicHealth,WuhanUniversity,Wuhan430071,Hubei;2.DepartmentofNo.2OperatingRoom,TheFirstAffiliatedHospitalofUSTC,Hefei230001,Anhui,China)【摘要】目的:探讨外科中电刀操作产生的烟雾对手术室空气质量的影响。方法:选择需要使用外科电刀操作的50例胸腰椎骨折手术作为观察组,不需要使用外科电刀操作的50例行椎体成形术作为对照组,在相同层流手术间环境下收集空气样本,通过空气分析仪器分析细颗粒物(PM2.5)和可吸入颗粒物(PM10)的浓度并进行结果对比。结果:观察组空气样本中PM2.5和PM10浓度均明显高于对照组(P<0.05)。结论:外科电刀操作手术烟雾对手术室空气环境产生污染,可能对医务工作者及患者产生健康危害。【关键词】手术烟雾;细颗粒物;可吸入颗粒物;危害;职业暴露中图分类号:R122.1+2文献标志码:A文章编号:1004-616X(2023)01-0054-03doi:10.3969/j.issn.1004-616x.2023.01.010【ABSTRACT】OBJECTIVE:TounderstandimpactsofPM2.5andPM10concentrationsinoperatingroomsfromsmogwhichwasproducedfromelectrosurgicalknifeusage.METHODS:50caseswiththoracolumbarfractureswhoneededelectrosurgicalknifeusageand50caseswhodidnotrequireelectrosurgicalknifeforvertebroplastywereselectedastheobservationandthecontrolgroups,respectively.AirsamplesinthecleanlaminarflowoperatingroomswerecollectedtodeterminePM2.5andPM10concentrations.RESULTS:ConcentrationsofPM2.5andPM10intheairoftheobservationgroupweresignificantlyhigherthanthoseinthecontrolgroup(P<0.05).CONCLUSION:Thesmogfromelectrosurgicalknifeusagewasacauseofpollutionintheoperatingroomswhichposedrisksofhealthhazardsforbothmedicalp...