上海口腔医学 ›› 2016, Vol. 25 ›› Issue (6): 748-750.

• 口腔护理 • 上一篇    下一篇

口腔修复手术电刀烟雾的粒径检测与防护

唐军, 聂溶冰   

  1. 上海交通大学医学院附属第九人民医院·口腔医学院 口腔修复科, 上海市口腔医学重点实验室,上海 200011
  • 收稿日期:2016-04-05 出版日期:2016-12-25 发布日期:2016-12-29
  • 通讯作者: 聂溶冰,E-mail:418047900@qq.com
  • 作者简介:唐军(1971-),女,学士,护师, E-mail:tangjun71@aliyun.com

Diameter measurements of the smoke particles produced by high frequency electrotome during prosthetic surgery and its protection

TANG Jun, NIE Rong-bing   

  1. Department of Prosthodontics, Shanghai Ninth People's Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine; Shanghai Key Laboratory of Stomatology. Shanghai 200011, China
  • Received:2016-04-05 Online:2016-12-25 Published:2016-12-29

摘要: 目的检测口腔修复科龈切手术中高频电刀产生的烟雾扩散及颗粒大小。方法高频电刀治疗时开启可移动式吸烟机,检测空气中PM2.5与PM10的浓度变化值。应用扫描电镜观察吸烟机海绵滤芯吸附的烟雾颗粒大小及分布。应用SPSS 18.0 软件包对数据进行统计学分析。结果龈切手术电刀产生的烟雾可使局部空间内PM2.5与PM10的浓度显著上升,扫描电镜显示,电刀烟雾颗粒平均直径值为3.3 μm。结论高频电刀龈切治疗时产生的烟雾颗粒与PM2.5微粒大小相当,属于对肺有损害的细微颗粒,建议治疗时增强相应的防护措施与防范意识。

关键词: 高频电刀, 手术烟雾, 颗粒, 粒径, PM2.5, PM10

Abstract: PURPOSE: To measure the particle size of surgical smoke produced by high frequency electrotome during prosthetic treatment. METHODS: The smoking machine was turned on when using high frequency electrotome simultaneously. Changes in the PM2.5 and PM10 concentration were measured by air quality detector. The sponge filter used in the smoking machine for 2 weeks was used as the experimental group with the intact one served as the control. The diameter and distribution of the smoke particles were observed under electric microscope scanning (SEM), and the difference between 2 groups was analyzed using SPSS 18.0 software package. RESULTS: Both PM 2.5 and PM 10 concentrations increased dramatically by the surgical smoke. SEM results demonstrated that the mean diameter of smoke particles was approximately 3.3 μm and most of them were smaller than 10 μm. CONCLUSIONS: The diameter of surgical smoke particles was similar to PM2.5 size, which is harmful to human health. Address of individual awareness and enhancing safety control are recommended.

Key words: High frequency electrotome, Surgical smoke, Particle size, PM2.5, PM10

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