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首页> 外文期刊>BMC Urology >Evaluation of noise hazard during the holmium laser enucleation of prostate
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Evaluation of noise hazard during the holmium laser enucleation of prostate

机译:prostate激光摘除前列腺过程中的噪声危害评估

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Background To evaluate noise hazard during holmium laser enucleation of the prostate (HoLEP), we designed a study to detect such a risk in this procedure. Methods This study was conducted over a 12-month period on 223 patients with benign prostatic hyperplasia (BPH), 121 of whom underwent HoLEP while those remaining underwent transurethral resection of the prostate (TURP). A sound level meter was used to detect the exposure of surgeons to noise. The recordings used were in accordance with the standards set by the Occupational Safety and Health Administration (OSHA) and the United States E nvironmental Protection A gency . Moreover, each of the 43 surgeons participating in a BPH discussion conference answered the questionnaire on the influence of noise, and 33 surgeons in our department volunteered for blood pressure monitoring post-surgically. Results The sound level produced by a high-powered holmium laser emitter during HoLEP was 67.37?±?0.13?dB, which was significantly higher than the sound heard during TURP (46.41?±?0.29?dB, P Conclusions The noise level during HoLEP is within hearing conservation levels. However, the noise disturbs intrateam communication and concentration during surgery. Some surgeons may experience discomfort post-surgically, but no significant difference among the groups is indicated. The findings suggest that measures should be taken to address the noise caused by the laser emitter during HoLEP.
机译:背景技术为了评估前列腺激光摘除术(HoLEP)期间的噪声危害,我们设计了一项研究来检测这种手术中的此类风险。方法本研究在12个月的时间内对223例前列腺增生(BPH)患者进行了研究,其中121例接受了HOLEP治疗,而其余患者接受了经尿道前列腺电切术(TURP)。声级计用于检测外科医生暴露于噪声中。所使用的录音符合美国职业安全与健康管理局(OSHA)和美国环境保护署制定的标准。此外,参加BPH讨论会的43位外科医生均回答了有关噪声影响的调查表,而我们部门的33位外科医生自愿接受了术后血压监测。结果高功率激光发射器在HoLEP期间产生的声级为67.37?±?0.13?dB,明显高于TURP期间听到的声音(46.41?±?0.29?dB,P在听力保护水平之内,但是,噪音干扰了手术过程中团队内部的沟通和注意力,一些外科医生可能会在手术后感到不适,但各组之间没有显着差异,研究结果表明应采取措施来解决所引起的噪音。 HoLEP期间由激光发射器发射。

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