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手术之痛:外科医生在手术过程中所经历的疼痛。

The pain of surgery: pain experienced by surgeons while operating.

机构信息

Department of Plastic & Reconstructive Surgery, West Midlands Deanery, Birmingham, United Kingdom.

出版信息

Int J Surg. 2010;8(2):118-20. doi: 10.1016/j.ijsu.2009.11.008. Epub 2009 Nov 24.

Abstract

INTRODUCTION

The operating theatre can be a dreaded experience not only for the patient but also occasionally for the surgeon. We sought to investigate the prevalence of pain experienced by surgeons while operating.

METHODS

One hundred and thirty anonymous questionnaires were sent to surgical consultants in the Britain.

RESULTS

The response rate was 60% and 63 experienced pain while operating. The back and neck were the most common areas of pain (36 & 30 consultants respectively), followed by the hand (24 consultants). Nearly 80% described pains on a regular basis. Table height was the most common cause of pain (35%), followed by the use of microscopes (27%) and standing (22%). Nearly 43% of the consultants will take a break from surgery because of their symptoms, and 4 took sick leave in direct relation to pain experienced as a result of operating. However only 27% took measures to reduce their symptoms and 65% never sought any help or advice and only one consultant informed the occupational health department.

CONCLUSION

Many surgeons will experience pain while operating due to positioning or the instruments they use, however there are no guidelines from occupational health departments or training courses to help minimise these symptoms.

摘要

简介

手术间不仅是患者,有时也是外科医生害怕的地方。我们试图调查外科医生手术时的疼痛发生率。

方法

向英国的外科顾问发出了 130 份匿名问卷。

结果

回复率为 60%,有 63 名顾问在手术中感到疼痛。背部和颈部是疼痛最常见的部位(分别为 36 名和 30 名顾问),其次是手部(24 名顾问)。近 80%的人经常感到疼痛。桌子的高度是引起疼痛的最常见原因(35%),其次是使用显微镜(27%)和站立(22%)。近 43%的顾问会因为症状而中断手术,有 4 名顾问因手术引起的疼痛请了病假。然而,只有 27%的人采取措施减轻症状,65%的人从未寻求任何帮助或建议,只有一名顾问通知了职业健康部门。

结论

许多外科医生由于手术的体位或使用的器械会感到疼痛,但职业健康部门或培训课程没有指导方针来帮助减轻这些症状。

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