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牙科诊疗中慢性暴露于一氧化二氮的环境卫生风险。

Environmental health risk of chronic exposure to nitrous oxide in dental practice.

作者信息

Szymańska J

机构信息

Instytut Medycyny Wsi, Jaczewskiego 2, P.O.Box 185, 20-950 Lublin, Poland.

出版信息

Ann Agric Environ Med. 2001;8(2):119-22.

PMID:11748867
Abstract

Nitrous oxide may be used to alleviate dental anxiety and to diminish or eliminate dental pain. The benefit of nitrous oxide sedation is a cooperative and satisfied patient. By reducing the patient's perception of pain it allows them to relax and cooperate during dental procedures. However, the dental surgery personnel, chronically exposed to N2O, are at serious risk. The chronic effects of occupational exposure to nitrous oxide have long been the subject of debate. Safety standards have been established in the United States and Europe since many years. The potential detrimental action on the reproductive, neurological, haematological, hepatic and renal systems, plus the possibility of increased cancer risk have been the subject of active research, although absolute occupational effects are still uncertain. To provide a safer work-place for those at risk of exposure to waste anesthetic gases, preventive measures are recommended.

摘要

一氧化二氮可用于缓解牙科焦虑,并减轻或消除牙痛。一氧化二氮镇静的好处是让患者配合并感到满意。通过降低患者对疼痛的感知,它使患者在牙科手术过程中能够放松并配合。然而,长期接触一氧化二氮的牙科手术人员面临严重风险。职业性接触一氧化二氮的长期影响长期以来一直是争论的话题。美国和欧洲多年来已制定了安全标准。尽管绝对的职业影响仍不确定,但对生殖、神经、血液、肝脏和肾脏系统的潜在有害作用,以及癌症风险增加的可能性一直是积极研究的课题。为为那些有接触废弃麻醉气体风险的人提供一个更安全的工作场所,建议采取预防措施。

相似文献

1
Environmental health risk of chronic exposure to nitrous oxide in dental practice.牙科诊疗中慢性暴露于一氧化二氮的环境卫生风险。
Ann Agric Environ Med. 2001;8(2):119-22.
2
Policy on minimizing occupational health hazards associated with nitrous oxide.关于将一氧化二氮相关职业健康危害降至最低的政策。
Pediatr Dent. 2008;30(7 Suppl):64-5.
3
Nitrous-oxide use. I. Risk of potential exposure and compliance among Nebraska dentists and dental assistants.一氧化二氮的使用。一、内布拉斯加州牙医和牙科助理的潜在暴露风险及合规情况。
Gen Dent. 1996 Nov-Dec;44(6):520-3.
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Nitrous oxide sedation: understanding the benefits and risks.氧化亚氮镇静:了解其益处与风险。
Am J Dent. 1995 Feb;8(1):47-50.
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Clinical use and potential biohazards of nitrous/oxide oxygen.氧化亚氮-氧气的临床应用及潜在生物危害
Gen Dent. 1997 Sep-Oct;45(5):486-91.
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[Spectrophotometric evaluation of nitrous oxide pollution in the work place of the anesthesiologic personnel in operating rooms].[手术室麻醉人员工作场所一氧化二氮污染的分光光度评估]
Pol Merkur Lekarski. 2004 Nov;17(101):438-42.
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Nitrous oxide and oxygen sedation: an update.氧化亚氮与氧气镇静:最新进展
Dent Assist. 2010 Jul-Aug;79(4):22-3, 26, 28-30; quiz 32, 34.
8
A review of the effects of trace concentrations of nitrous oxide on performance and related health problems in medical and dental personnel.痕量一氧化二氮对医护和牙科人员工作表现及相关健康问题影响的综述。
J Environ Health. 1982 Jul-Aug;45(1):24-8.
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[Nitrous oxide not unsafe but used less often].
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Health effects of anesthetic gases.麻醉气体对健康的影响。
Occup Med. 1997 Oct-Dec;12(4):627-34.

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