摘要
目的:通过对洁净手术室条件下白内障超声乳化手术空气质量进行动态检测分析,了解不同时间点术中空气质量情况,为白内障连台手术空气质量管理提供参考依据。方法:采用空气质量检测仪和空气微生物采样器,对温州医科大学附属眼视光医院洁净手术室白内障超声乳化手术术中空气质量进行动态检测分析与评价。结果:白内障超声乳化手术从患者入室到切口关闭整个过程空气洁净度呈“N”字型,以麻醉开始空气中颗粒物浓度为最高,周边区颗粒物浓度略高于手术区,差异有统计学意义(P<0.01),各采样时间点细菌数均符合洁净级别标准;12台连台白内障超声乳化手术第1至第7台手术区气溶胶浓度呈平稳波动态势,第8台开始PM_(2.5)(0.17μg/m^(3))、PM_(10)(0.27μg/m^(3))有上浮趋势,在第12台有较明显高值(PM_(2.5)0.3μg/m^(3)、PM_(10)0.4μg/m^(3)、粒子数21.67个/L),且浮游菌检测在第12台检测为2 cfu/m^(3);周边区PM_(2.5)(0.1~0.2μg/m^(3))、PM_(10)(0.17~0.23μg/m^(3))、粒子数(9.67~16.67个/L)均呈平稳波动态势,浮游菌检测浮动范围为0~1 cfu/m3,符合动态标准。结论:洁净手术室能够持续有效维持手术间的空气清洁,白内障超声乳化手术连台方式可取,考虑到临床人力安排与实际工作,建议白内障超声乳化手术可在连台11~12台(手术开展4~4.5 h)后进行术间自净,使手术室管理更加高效。
Objective:To study dynamic monitoring of air quality at differenttime during cataract phacoemulsification surgery in the clean operation room so as to provide references for the development of consecutive operation mode.Methods:Air quality detector and air microorganism sampler were used to dynamically evaluate the air quality during cataract phacoemulsification surgery.Results:The air cleanliness during the entire process of cataract phacoemulsification surgery from patient entry to incision closure was in an“N”shape,with the highest concentration of particulate matter in the air at the beginning of anesthesia,showing significant difference(P<0.01).The aerosol concentration in the surgical area of 12 consecutive cataract phacoemulsification operations showed a steady wave trend from the 1st to the 7th,while PM_(2.5)(0.17μg/m^(3))and PM_(10)(0.27μg/m^(3))showed an upward trend from the 8th,with a significant high value(PM2.50.3μg/m^(3),PM_(10)0.4μg/m^(3),particle number 21.67/L)during the 12th,when the detection of planktonic bacteria was 2 cfu/m^(3);the aerosol concentration in the surrounding area showed steady fluctuation,which met the dynamic standard.Conclusion:A clean operating room can continuously and effectively maintain the cleanliness of the air in the operating room and the consecutive operation mode is feasible.Considering the clinical manpower arrangement and practical work,it is recommended that 11 or 12 cataract phacoemulsification surgery(4 to 4.5 hours)be consecutively performed to ensure the management efficiency of the operating room.
作者
李纯纯
张佩华
章菁菁
姜雅
潘东东
陈燕燕
LI Chunchun;ZHANG Peihua;ZHANG Jingjing;JIANG Ya;PAN Dongdong;CHEN Yanyan(Quality Control Office,Eye Hospital,Wenzhou Medical University,Wenzhou 325027,China)
出处
《温州医科大学学报》
CAS
2024年第2期141-145,共5页
Journal of Wenzhou Medical University
基金
温州市基础性科研项目(Y2020720)
温州医科大学附属眼视光医院护理专项课题(YNHL2202001)。
关键词
洁净手术室
白内障
超声乳化手术
动态
空气检测
clean operating room
cataract
phacoemulsification surgery
dynamic
air monitoring
