Yozgat City Hospital, Department of Emergency Medicine, Yozgat, Turkey.
Ankara Research and Training Hospital, Department of Emergency Medicine, Ankara,Turkey.
Am J Emerg Med. 2023 Jan;63:106-109. doi: 10.1016/j.ajem.2022.10.019. Epub 2022 Oct 29.
The COVID pandemic, which has caused high mortality rates worldwide, has mainly affected the working environment of healthcare workers. Metabolic and respiratory changes occur in healthcare workers working with surgical masks.
Our aim is to identify the metabolic and respiratory problems faced by healthcare personnel working with surgical masks and to produce solutions to minimize them.
The study was conducted among emergency service workers who used surgical masks for at least 8 h in the emergency room between June 2020 and July 2020. Venous blood gas samples were taken from the health personnel participating in the study and their vital signs were checked.
A total of 60 healthcare professionals with a mean age of 28.20 ± 6.30 years were included in the study. The distribution of men and women in the study was balanced with 30 (50.0%) men and 30 (50.0%) women. When the first and last vital signs (blood pressure, pulse, saturation) of the health workers participating in the study were examined, no statistically significant differences were found (p > 0.05). While there was no statistically significant difference in the Na, Chlorine, Ca values of metabolic indicators (p > 0.05), the first measurements of K (0.017) and Lactate (0.037) values were found to be higher than the last measurements (p > 0.05). The first measurements of the respiratory parameters pH (0.002), pCO2 (0.028), sO2 (0.045) and pO2 (0.048) were lower than the last measurements (p > 0.05). The first measurement value of pCO2 (0.028) was found to be higher than the last (p > 0.05).
Regular and long-term use of surgical masks does not harm the body metabolically and respiratorily.
COVID 大流行在全球范围内造成了高死亡率，主要影响了医护人员的工作环境。使用外科口罩会使医护人员的代谢和呼吸发生变化。
我们旨在确定佩戴外科口罩工作的医护人员所面临的代谢和呼吸问题，并提出解决方案以将其最小化。
本研究于 2020 年 6 月至 2020 年 7 月在急诊室中至少使用外科口罩 8 小时的急救服务人员中进行。从参与研究的卫生人员中抽取静脉血气样本，并检查其生命体征。
共有 60 名平均年龄为 28.20±6.30 岁的医护人员纳入研究。研究中男女分布均衡，有 30 名（50.0%）男性和 30 名（50.0%）女性。当检查参与研究的卫生工作者的第一和最后生命体征（血压、脉搏、饱和度）时，未发现统计学差异（p＞0.05）。代谢指标的 Na、Chlorine、Ca 值无统计学差异（p＞0.05），但 K（0.017）和乳酸（0.037）的第一测量值高于最后测量值（p＞0.05）。呼吸参数的 pH（0.002）、pCO2（0.028）、sO2（0.045）和 pO2（0.048）的第一测量值低于最后测量值（p＞0.05）。pCO2（0.028）的第一测量值高于最后测量值（p＞0.05）。
定期且长期使用外科口罩不会对身体的新陈代谢和呼吸系统造成伤害。
