外科烟雾与医护人员和患者的生物症状：系统评价。
Surgical Smoke and Biological Symptoms in Healthcare Professionals and Patients: A Systematic Review.
机构信息
School of Nursing, University of Sao Paulo, São Paulo, Brazil.
School of Nursing, University of Sao Paulo, The Brazilian Centre of Evidence-based Healthcare: A JBI Centre of Excellence (JBI Brazil), São Paulo, Brazil.
出版信息
J Perianesth Nurs. 2022 Feb;37(1):130-136. doi: 10.1016/j.jopan.2021.06.106. Epub 2021 Nov 19.
PURPOSE
This study aimed to identify the evidence in the scientific literature between exposure to surgical smoke and biological symptoms in healthcare professionals and patients.
DESIGN
A systematic review.
METHODS
Electronic databases were searched, including vivo observational and experimental studies published until August 2020 in Portuguese, English, Spanish and French.
FINDINGS
We identified 13 studies, with a predominance of cross-sectional (6; 46.15%), experimental laboratory (4; 30.76%) and cohort (3; 23.07%) studies. The main manifestations identified were related to respiratory tract and headache. There was identification of histopathological changes in the nasal mucosa of healthcare professionals and the presence of toxic substances from smoke identified in the urine of patients and healthcare professionals.
CONCLUSION
The scientific literature on the biological symptoms of surgical smoke is mainly composed of observational studies with a reduced sample size, thus constituting aspects which limit a broader and long-term understanding of the biological effects of surgical smoke exposure in healthcare professionals and patients.
目的
本研究旨在确定科学文献中手术烟雾暴露与医护人员和患者生物症状之间的证据。
设计
系统评价。
方法
检索电子数据库，包括截至 2020 年 8 月发表的葡萄牙语、英语、西班牙语和法语的观察性和实验性研究。
结果
我们共识别出 13 项研究，其中横断面研究（6 项；46.15%）、实验性实验室研究（4 项；30.76%）和队列研究（3 项；23.07%）居多。确定的主要表现与呼吸道和头痛有关。医护人员的鼻腔黏膜出现组织病理学变化，患者和医护人员的尿液中也发现了烟雾中的有毒物质。
结论
关于手术烟雾生物症状的科学文献主要由样本量较小的观察性研究组成，因此在一定程度上限制了对手术烟雾暴露对医护人员和患者的生物影响的更广泛和长期的理解。
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