Li Xingsun, Li Jiang, Xu Zhihui, Shang Yanfen, Shi Haidan
Operating Room, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Taizhou 318050, Zhejiang, China.
Noise Health. 2025;27(126):246-254. doi: 10.4103/nah.nah_175_24. Epub 2025 Jun 26.
High noise levels in operating rooms are a common problem in clinical practice. The aim of this study is to review the current study systematically to clarify the effects of operating room noise on medical staff and patients.
We searched the studies on operating room noise published in PubMed, Web of Science, and Cochrane Library from 2014 to 2024. The study types included randomized controlled trials, case-control studies, and cohort studies. Study languages were not limited. Two researchers screened the study in accordance with inclusion and exclusion criteria and extracted relevant data for quality evaluation.
Ten studies were included in this systematic review. They involved 1485 subjects, comprising 888 patients and 597 healthcare workers. In the included studies, the operating room noise level generally exceeded 50 dB, and the recorded highest average noise level was 72.4 dB. Five studies investigated the effects of noise on the psychological state of operating room staff, involving 581 participants, and primarily reported that noise exposure led to adverse psychological effects, such as decreased attention and increased anxiety. Three studies, encompassing 114 participants, examined the physiological effects of noise on operating room staff and found that noise contributed to fatigue, headaches, and increased cortisol secretion. Additionally, five studies explored the influence of noise on surgical patients. Of these studies, four studies documented negative outcomes in patients, including postoperative infections and anxiety, whereas one demonstrated that low-level noise stimulation could beneficially improve postoperative delirium and pain in patients.
Noise has a potential negative effect on staff and patients, underscoring the importance of implementing noise control measures in the operating room.
手术室中的高噪音水平是临床实践中常见的问题。本研究的目的是系统回顾当前的研究，以阐明手术室噪音对医护人员和患者的影响。
我们检索了2014年至2024年在PubMed、科学网和Cochrane图书馆上发表的关于手术室噪音的研究。研究类型包括随机对照试验、病例对照研究和队列研究。研究语言不限。两名研究人员根据纳入和排除标准筛选研究，并提取相关数据进行质量评估。
本系统评价纳入了10项研究。它们涉及1485名受试者，包括888名患者和597名医护人员。在纳入的研究中，手术室噪音水平普遍超过50分贝，记录到的最高平均噪音水平为72.4分贝。五项研究调查了噪音对手术室工作人员心理状态的影响，涉及581名参与者，主要报告噪音暴露会导致不良心理影响，如注意力下降和焦虑增加。三项研究，涵盖114名参与者，研究了噪音对手术室工作人员的生理影响，发现噪音会导致疲劳、头痛和皮质醇分泌增加。此外，五项研究探讨了噪音对外科手术患者的影响。在这些研究中，四项研究记录了患者的负面结果，包括术后感染和焦虑，而一项研究表明低水平噪音刺激可以有益地改善患者术后谵妄和疼痛。
噪音对工作人员和患者有潜在的负面影响，强调了在手术室实施噪音控制措施的重要性。
