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保护工作人员免受空气传播病毒颗粒的侵害:激光口罩的体内效率

Protecting staff against airborne viral particles: in vivo efficiency of laser masks.

作者信息

Derrick J L, Li P T Y, Tang S P Y, Gomersall C D

机构信息

Department of Anaesthesia and Intensive Care, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong.

出版信息

J Hosp Infect. 2006 Nov;64(3):278-81. doi: 10.1016/j.jhin.2006.06.021. Epub 2006 Aug 21.

Abstract

Laser masks are used to prevent inhalation of viral particles during laser surgery. A crossover trial was performed in eight volunteers to compare the ability of a surgical mask and a laser mask with that of an FFP2 respirator to filter airborne dust particles. The surgical and laser masks were tested when worn normally and when they were taped to the face. The mean reductions in particle counts were 3.0 fold [95% confidence interval (95% CI) 1.8-4.2] for the untaped surgical mask, 3.8 fold (95% CI 2.9-4.6) for the untaped laser mask, 7.5 fold (95% CI 6.5-8.5) for the taped surgical mask, 15.6 fold (95% CI 13.5-17.8) for the taped laser mask, and 102.6 fold (95% CI 41.2-164.1) for the FFP2 half-face respirator. The laser mask provided significantly less protection than the FFP2 respirator (P=0.02), and only marginally more protection than the surgical mask. The continued use of laser masks for respiratory protection is questionable. Taping masks to the face only provided a small improvement in protection.

摘要

激光面罩用于在激光手术期间防止吸入病毒颗粒。对8名志愿者进行了一项交叉试验,以比较外科口罩、激光面罩与FFP2呼吸器过滤空气中灰尘颗粒的能力。外科口罩和激光面罩在正常佩戴以及贴在脸上时进行了测试。未贴的外科口罩的颗粒计数平均降低3.0倍[95%置信区间(95%CI)1.8 - 4.2],未贴的激光面罩为3.8倍(95%CI 2.9 - 4.6),贴了的外科口罩为7.5倍(95%CI 6.5 - 8.5),贴了的激光面罩为15.6倍(95%CI 13.5 - 17.8),FFP2半面罩呼吸器为102.6倍(95%CI 41.2 - 164.1)。激光面罩提供的防护明显低于FFP2呼吸器(P = 0.02),仅略高于外科口罩。继续使用激光面罩进行呼吸防护值得怀疑。将口罩贴在脸上仅略微提高了防护效果。

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