Mosconi G, Belotti L, Leghissa P, Silva T, Seghizzi P, Morelli E, Maccarana G
Istituto di Medicina del lavoro, Ospedali Riuniti di Bergamo.
G Ital Med Lav. 1988 Jul-Sep;10(4-5):165-71.
The authors describe the results of a preliminary clinical survey of a group of 220 health workers, physicians and 151 nursing and auxiliary staff members of a large regional hospital in Lombardia, who are exposed to volatile anaesthetics. Contact dermatitis, varices of the legs and arthrosis, particularly that of the cervical and lumbar tract, are the most frequently reported disease in our population. In 75% of cases these disturbances arose after the beginning of the job working in the operating-theatres. When compared with a control group there was a statistically significant difference for contact dermatitis (p less than 0.01) and cervical tract arthrosis (p less than 0.02). The statistical comparison among the subjects exposed to the anaesthetics gases, who were stratified on the basis of the level of exposure and of seniority, confirms a higher prevalence of symptoms due to a reduction of alertness and of psychological and psychomotorial performances in the more exposed personnel. The comparison between female staff exposed and not-exposed to the gases did not show an increase of abortivity, while a statistically significant difference was evident between the female staff (either exposed or not-exposed) and the wives of male workers not exposed to the anaesthetics gases.
作者描述了对伦巴第大区一家大型医院的220名医护人员（医生）以及151名护理和辅助人员进行的初步临床调查结果，这些人员都接触挥发性麻醉剂。接触性皮炎、腿部静脉曲张和关节病，尤其是颈椎和腰椎部位的关节病，是我们研究人群中报告最多的疾病。在75%的病例中，这些不适症状是在开始在手术室工作后出现的。与对照组相比，接触性皮炎（p<0.01）和颈椎关节病（p<0.02）存在统计学上的显著差异。对接触麻醉气体的受试者根据接触程度和资历进行分层后的统计比较证实，接触程度较高的人员因警觉性降低以及心理和精神运动表现下降而出现症状的患病率更高。接触和未接触气体的女性工作人员之间的比较未显示流产率增加，而接触或未接触气体的女性工作人员与未接触麻醉气体的男性工作人员的妻子之间存在统计学上的显著差异。
