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评估在重症监护病房照顾因 SARS-CoV-2 而被隔离的患者的医务人员在使用增强型过滤面罩前后的毛细血管血气:一项前瞻性队列研究。

Evaluation of Capillary Blood Gases in Medical Personnel Caring for Patients Isolated Due to SARS-CoV-2 in Intensive Care Units before and after Using Enhanced Filtration Masks: A Prospective Cohort Study.

机构信息

Department of Anaesthesiology Nursing and Intensive Care, Faculty of Health Sciences, Medical University of Gdańsk, Dębinki 7, 80-211 Gdańsk, Poland.

Department of Medical Rescue, Faculty of Health Sciences, Medical University of Gdańsk, Dębinki 7, 80-211 Gdańsk, Poland.

出版信息

Int J Environ Res Public Health. 2021 Sep 7;18(18):9425. doi: 10.3390/ijerph18189425.

Abstract

UNLABELLED

The dynamically changing epidemiological situation caused by the SARS-CoV-2 virus is associated with the increased burden and fatigue of medical personnel. The aim of the study was to evaluate: (1) oxygen and carbon dioxide blood pressure and saturation levels in medical personnel caring for patients isolated due to SARS-CoV-2 in ICUs; (2) adverse symptoms reported by medical personnel after leaving the isolation zone.

DESIGN

A Prospective Cohort Study.

METHODS

The project was implemented in the first quarter of 2021. Medical personnel working with patients isolated due to SARS-CoV-2 in the ICU of three hospitals were eligible for the study. The participants of the study were subjected to two analyses of capillary blood by a laboratory diagnostician.

RESULTS

In the studied group of medical personnel (n = 110) using FFP2/FFP3 masks, no significant differences ( > 0.05) were found between the parameters of geometric examination performed before and after leaving the isolation ward of the hospital. After working in the isolation ward, nurses reported malaise (somnolence, fatigue, sweating, dizziness) more often than paramedics (44% vs. 9%; = 0.00002). The risk of ill-being in nurses was approximately nine times higher than in paramedics (OR = 8.6; Cl 95%: 2.7 to 26.8) and increased with the age of the subjects (OR = 1.05; Cl 95%: 1.01 to 1.08).

CONCLUSION

FFP2/FFP3 filter masks did not worsen blood oxygenation in medical staff caring for patients isolated due to SARS-CoV-2 in the ICU. The presence of subjective symptoms such as fatigue may be due to lack of adequate hydration.

摘要

目的

评估(1)在 ICU 照顾因 SARS-CoV-2 而隔离的患者的医务人员的血氧和二氧化碳血压及饱和度水平;(2)医务人员离开隔离区后报告的不良症状。

方法

这是一项前瞻性队列研究。项目于 2021 年第一季度实施。在三家医院 ICU 中照顾因 SARS-CoV-2 而隔离的患者的医务人员有资格参加该研究。研究对象由实验室诊断医师进行两次毛细血管血分析。

结果

在所研究的使用 FFP2/FFP3 口罩的医务人员组(n=110)中,在离开医院隔离病房前后进行的几何检查参数之间未发现显著差异(>0.05)。与急救员(44%比 9%;=0.00002)相比,护士在隔离病房工作后更常报告不适(嗜睡、疲劳、出汗、头晕)。护士出现不适的风险比急救员高约九倍(OR=8.6;95%Cl:2.7 至 26.8),且随研究对象年龄的增加而增加(OR=1.05;95%Cl:1.01 至 1.08)。

结论

FFP2/FFP3 过滤口罩未使照顾 ICU 中因 SARS-CoV-2 而隔离的患者的医务人员的血氧恶化。疲劳等主观症状的出现可能是由于水合不足所致。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d87/8467996/92a42b01e0eb/ijerph-18-09425-g001.jpg

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