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研究生:徐明揚
論文名稱:防護衣洩漏評估機制建立
論文名稱(外文):Leakage quantification and evaluation of protective clothing for industrial and medical workers
指導教授:羅金翔羅金翔引用關係楊心豪楊心豪引用關係
學位類別:碩士
校院名稱:弘光科技大學
系所名稱:環境工程研究所
學門:工程學門
學類:環境工程學類
論文種類:學術論文
畢業學年度:99
語文別:中文
論文頁數:109
中文關鍵詞:防護衣洩漏影像處理
外文關鍵詞:protective clothingleakagedigital image processing
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防護衣的洩漏對醫療人員之感染風險有著重要的影響,傳統的評估方式為探討防護衣的穿透率,然穿脫是否正確亦影響防護衣的防護程度,故本研究針對不同穿戴方式進行測試,以醫療人員身體之螢光反應來評估洩漏區域,再利用影像取樣截選運算後,透過螢光區域面積之定義,進而評估防護衣洩漏比率,以作為未來防護衣設計改善之參據。

本研究結果可知牌防護衣在兩分鐘的全身的洩漏率約為2.04×10-4,在十分鐘的全身的洩漏率約為3.15×10-3 。P 牌防護衣在兩分鐘的全身的洩漏率約為2.47×10-4。在十分鐘的全身的洩漏率約為4.79×10-3。W 牌防護衣在兩分鐘的全身的洩漏率約為1.04×10-4 。在十分鐘的全身的洩漏率約為4.68×10-3。在兩分鐘的活動下,W 牌防護衣在兩分鐘的洩漏量是最低的,在十分鐘的活動下,P 牌防護衣的洩漏率是最高的。密封措施測試-疾病管制局措施方式在活動下洩漏率為0,歸納出於易沾覆螢光部位為接縫處,如手腕、頸部、胸腔,藉由螢光微粒評估沾覆範圍,而注意脫穿時不要接觸到。

This work aims to measure the leakage of the protective clothing worn by different way. The fluorochrome aerosols were used as the challenged aerosols. If the protectiveclothing was leaking of air, the fluorochrome aerosols were showed on the surface of testing subject. Then the photographing technology was applied for catch the fluorochrome image. Finally, the leakage ratio of the protective clothing was calculated by the digital image processing. The procedures of the digital image processing are as follows: taking the digital images of the selected
targets, analyzing the brightness (or gray level) of images by the specific computer program, and correlating the fluorochrome area with the integral of the pixels on
the images.
The experimental results showed that the leakage of the type K protective clothing in 2 and 10 minutes testing were 2.04×10-4 and 3.15×10-3, respectively. The leakage of the type P protective clothing in 2 and 10 minutes testing were
2.47×10-4 and 4.79×10-3, respectively; the leakage of the type W protective clothing in 2 and 10 minutes testing were 1.04×10-4 and 4.68×10-3,respectively. According to these data, in the 2 minutes testing, the leakage of the type W
protective clothing is lowest. In the 10 minutes testing, the leakage of the type P protective clothing is the highest. In the 2 minutes testing, the leakage of the CDC
test were 0。
致謝............................................I
摘要............................................II
Abstract........................................III
表目錄...........................................VIII
圖目錄...........................................VIII
第一章 前言.......................................1
1-1研究動機.......................................1
1-2 研究目的......................................3
第二章 文獻回顧....................................5
2-1醫療人員危害之型態..............................5
2-1-1醫療人員常見危害項目..........................5
2-1-2醫療院所危害因素..............................8
2-1-3醫護危害影響途徑.............................15
2-1-4區域性與高風險危險群..........................18
2-2室內空氣品質重要性..............................20
2-2-1 室內空氣污染物...............................20
2-3 生物氣膠......................................24
2-3-1 細菌氣膠....................................24
2-3-2 真菌氣膠....................................24
2-3-3 病毒氣膠....................................25
2-4生物氣膠的產生..................................26
2-5生物氣膠的危害..................................27
2-5-1 流行性感冒...................................27
2-5-2禽流感.......................................27
2-5-3新流感.......................................28
2-5-4嚴重急性呼吸道症候群...........................28
2-5-5結核病.......................................29
2-6 防護衣類型.....................................30
2-6-1防護衣種類介紹................................30
2-6-2各類化學防護衣測試規範及標準....................31
2-6-2-1歐洲標準....................................31
2-6-2-2美國標準....................................32
2-6-2-3國家防火協會(NFPA)標準.......................35
2-6-2-4醫療用防護衣.................................37
2-6-2-5美國材料試驗學會(ASTM)材料測試標準.............37
2-6-2-6中華民國CNS 檢測方法.........................38
2-7 影像處理.......................................40
2-7-1影像分析原理...................................41
2-7-1-1影像獲取....................................43
2-7-2統計式理論....................................44
2-7-3數位影像顏色校正方法...........................46
2-7-4數位相機顏色校正..............................47
第三章 實驗方法....................................50
3-1 研究方法......................................50
3-2實驗藥品及器材..................................51
3-2-1實驗藥品.....................................51
3-2-2實驗器材.....................................51
3-3螢光氣膠.......................................55
3-4人員測試方式....................................56
3-5人員穿戴測試方法.................................58
3-6 影像處理暨軟體 ..............................58
3-6-1統計式理論於影像分割...........................60
3-6-2人體表面積Body Surface Area (BSA).............61
3-6-3軟體開發......................................61
3-6-4使用者介面.....................................67
3-7 評估設計........................................69
3-8實驗系統.........................................71
第四章 結果與討論....................................72
4-1前置實驗.........................................72
4-2 防護衣面積推估...................................72
4-3人體表面積推估....................................74
4-4全無密封措施測試..................................75
4-4-1全無密封措施測試-2分鐘沾覆率.....................76
4-4-2全無密封措施測試-2分鐘洩漏率.....................77
4-4-3全無密封措施測試-10分鐘沾覆率....................79
4-4-4全無密封措施測試-10分鐘洩漏率....................81
4-5 全無密封措施-K牌防護衣..........................83
4-5-1 K牌防護衣沾覆率...............................83
4-5-2 K牌防護衣洩漏率...............................85
4-6 全無密封措施-P牌防護衣..........................86
4-6-1 P牌防護衣沾覆率...............................86
4-6-2 P牌防護衣洩漏率...............................87
4-7 全無密封措施-W牌防護衣...........................89
4-7-1 W牌防護衣沾覆率...............................89
4-7-2 W牌防護衣洩漏率...............................90
4-8密封措施測試.....................................92
4-8-1疾病管制局措施.................................92
4-8-2疾病管制局穿脫方式..............................93
4-8-3疾病管制局部位不密封-手腕部位不密封...............94
4-8-4疾病管制局部位不密封-胸腔部位不密封...............96
4-8-5疾病管制局部位不密封-頸部部位不密封...............97
第五章 結論與建議....................................100
5-1結論.............................................100
5-2建議.............................................101
參考文獻.............................................102


Ahang, J., Shunichiro, O., 1998, Texture image segmentation method based on wavelet transform and neural. Proceedings of the 1998 IEEE International Conference on Systems, Part 5(of 5): 4595-4600.
Andersen, I., and Korsgaard, J., 1986, Asthma and the indoor environment: Assessment of the health implications of high indoor air humidity. Environment International, 12: 121-127.
Assoc, J., 1992, A Review of Overall Integrity and Material Performance Tests for the Selection of Chemical Protective Clothing. 53: 455- 462.
ASTM Designation: F 2053-00, 2000, Standard Guide for Documenting the Results of Airborne Particle Testing of Protective Clothing Materials.
Barlow, G ., Sachdev, N., Nathwani, D., 2002, The use of adult isolation facilities in a UK infectious diseases unit. Journal of Hospital Infection, 50:127-132.
Boutet, R., Stuart, J. M., Kaczmarski, E. B., 2001, Risk of laboratory-acquired meningococcal disease. Journal of Hospital Infection, 49:282-284.
Braithwaite, A., 1997, Hospital and medical center facility hazards. Occupational Health & Safety, 66:37-38.
British Standard, 1995, Protective clothing-Protection against liquid chemicals. BS EN 466-1.
British Standard, 1995; Protective clothing-protection against liquid chemicals-Performance requirements for chemical protective clothing with spray-tight connections between different parts of the clothing (type 4 equipment). BS EN 465.
British Standard, 2002, Protective clothing against liquid and gaseous chemicals, including liquid aerosols and solid particles. BS EN 943-1.
Canny, J., 1986, A computational approach to edge detection. IEEE Transactions on Pattern Analysis and Machine Intelligence, 8:679-698.
Chang, T., Kuo, C. C., 1992, A Wavelet Transform approach for hierarchical texture segmentation. Signal System and Computers, 2: 816-820.
Chen, C. H., Lin, Y. T., Wen, C. Y., Wang, L. C., Lin, K. H., Chiu, S. H., Yang, Y. H., Lee, J. H., Chiang, B. L., 2009, Quantitative assessment of allergic shiners in children with allergic rhinitis. The Journal of Allergy and Clinical Immunology, 123: 665-671.
Cohen, B. S. and McCammon, Jr., C. S., 2001, Air Sampling Instruments—Sampling Biological Aerosols. ACGIH, 9th Edition.
Cox, C. S., and Wathes, C. M., 1995, Bioaerosols handbook. NY: Lewis Publishers.
Ding, L., Goshtasby, A., On the canny edge detector. Pattern Recognition, 34: 721-725.
Gary, M. W., 1995, Food: Role in the Etiology of Cancer, Food And Cancer Prevention. Chemical and Biological Aspects, Reprinted 4.
Gravesen, S., Nielsen, P. A., Iversen, R., and Nielsen, K. F., 1999, Mircofungal contamination of damp buildings-examples of risk constructions and risk materials. Environmental Health Perspectives, 107: 505-508.
Griffiths, W. D., and EdCosemo, G. A. L., 1994, The Assessment of Bioaerosols: A Critical Review. Journal of aerosol Science, 25: 1425-1458.
James, C. W., 2000, Medical Surveillance in Work-Safety and Health Programs. American Family Physician.
Kapur, J. N., Sahoo, P. K., Wong, A. K. C., 1985, A new method for gray-level picture thresholding using the entropy of the histogram. Computer Vision, Graphics and Image Processing, 29: 273-285.
Li, Y., Zou, X., 2004, Image edge detection by means of bivariate non-tensor product wavelet, Journal of Jilin University, 42: 483-488.
Lin, W. H., Chen, Y. H., and Pai, J. Y., 2004, Bioaerosol characteristics in a hospital. The Chung Shan Medical Journal, 15: 97-108.
Masaru, M., Kathryn, A. R., Marylou, I., 2002, Nitric oxide, anti-inflammatory drugs on renal prostaglandins and cyclooxygenase-2. Hypertension, 39: 785-789.
Michael, A. P. 2001, Why Are Indoor Air Quality Problems So Prevealent Today? Occupational Hazards, 63: 37-40.
Mihály, I., Telegdy, L., Ibrányi, E., Lukács, A., 2001, Prevalence ,genotype distribution and outcome of hepatitis C infections among the employees of the Hungarian Central Hospital for Infectious Diseases. Journal of Hospital Infection, 49: 239-244.
NFPA, 1994, Protective Ensembles for First Responders to CBRN
NFPA, 1999, Standard on Protective Clothing for Emergency Medical Operations 2003.
Paget, R., Longstaff, I. D., 1998, Texture Synthesis via a Noncausal Nonparametric Multiscale Markov Random Filed. IEEE Trans. on Image Processing, 7: 925-931.
Payan, C., Cottin, J., Lemarie, C.,Ramont, C., 2001, Inactivation of hepatitis B virus in plasma by hospital in-use chemical disinfectants assessed by a modified HepG2 cell culture. Journal of Hospital Infection, 47: 282-287.
Sari-Sarraf, H., Brzakovic, D., 1997, A Shift-Invariant Discrete Wavelet Transform. IEEE Trans. on Signal Processing, 45(10): 2621-2626.
Siraj, I. M., 1996, Prevention of Alcohol-Induced Disease and Cancer by Nutritio. Nutrition and Cancer Prevention, 54: 59-89.
U.S Environmental Protection Agency, 1994, Indoor air pollution:An introduction for health professionals. 402-R-94-007
Vardas, E., Ross, M. H., Sharp G., McAnerney, J., Sim, J., 2002, Viral hepatitis in South African healthcare workers at increased risk ofoccupational exposure to blood-borne viruses. Journal of Hospital Infection.50: 6-12.
Xavie, D., Marc, S., 1999, Estimating Gaussian Markov Filed Parameters in a Nonstationary Framework:Application to Remote Sensing Imaging. IEEE Trans. on Image Processing, 8(4): 490-503.
Yoly, M. G., 1998, Occupational disease in dentistry. New York State Dental Journal, 64: 26-29.
中華民國工業安全衛生協會,1999,勞工安全衛生管理員訓練教材,修正十四刷。
行政院勞工委員會,1997,醫療院所空氣中生物危害研究—嗜肺性退伍軍人桿菌,勞工安全衛生研究所。
行政院勞工委員會,1997,醫療院所職業衛生狀況調查,勞工安全衛生研究所。
行政院勞工委員會,2002,醫療院所作業人員疱疹病毒感染流行病學調查研究,勞工安全衛生研究所。
行政院勞工委員會,2002,醫護人員結核桿菌之環境監測與職業性感染研究,勞工安全衛生研究所。
行政院勞工委員會,2003,醫療院所職業性生物危害預防指引-空氣傳播病原菌,勞工安全衛生研究所。
行政院衛生署,1994,衛生統計—台灣地區醫院醫事人員數—按評鑑等級別分,行政院衛生署
行政院環境保護署,2008,http://www.epa.gov.tw/。
吳貴美,1992,氧化乙烯於醫院中之安全使用,榮總護理,9卷4期,頁466-499。
李宜璉,2008,幼稚園中流行感冒病毒濃度評估,碩士論文,高雄醫學大學健康科學院公共衛生學系研究所。高雄。
沈君儀,2008,城鄉民眾之傳播行為及其對傳染病風險知覺的影響-以肺結核、登革熱為例,碩士論文,國立臺灣大學衛生政策與管理研究所。台北。
林圭碧,1996,氧化乙烯滅菌器材殘存量之探討與改進,榮總護理,13卷3期,頁302-310。
林建良,1998,印刷業勞工噪音暴露及工程改善之研究,碩士論文,中國文化大學勞工研究所,頁3-17。
林凱義,2003,A 級防護衣檢視及氣密測試方法介紹。勞工安全衛生簡訊第59 期。
林景煜,2008,新興流感病毒之神精胺酸脢功能性探討,碩士論文,國立臺灣大學醫學檢驗暨生物技術學系暨研究所。台北。
林雅晴,1998,衝擊器之生物器膠採樣效率,碩士論文,國立臺灣大學環境衛生研究所。台北。
科學人雜誌,2003,我們應該更了解的SARS,遠流出版事業股份有限公司。
徐家杰,張魁恒譯,2001,過敏反應、結締組織,感染症之護理,五南圖書出版股份有限公司。台北。
張振平、陳志勇、游志雲,2004,國人人體計測資料庫的更新與工作場所設施尺寸研究,行政院勞委會勞工安全衛生研究所。
張碧芬、袁紹英、游呈祥,2004,微生物學的世界,天下遠見出版股份有限公司,台北。
張靜文,1997,醫療院所工作人員職業性針扎危害評估,勞工行政,112期,頁22-27。
張靜文、黃耀輝,1999,台灣地區醫療院所針扎回顧,行政院勞工委員會勞工安全衛生研究所,頁1-33。
許捷甯,2004,台灣家禽流行性感冒病毒H6N1 亞型病原性與基因序列之關聯及垂直傳播試驗,碩士論文,國立臺灣大學獸醫學研究所。台北。
陳淑惠,2009,醫院門診區建築平面型態對生物氣膠擴散影響之研究,碩士論文,國立臺北科技大學建築與都市設計研究所。台北。
勞工安全衛生技術叢書,IOSH-T-005 防護具選用技術手冊—化學防護衣。
勞工安全衛生研究所,1996,勞工作業場所過敏原之調查研究-養豬場生物氣膠,勞工安全衛生研究所報告IOSH85-M361。台北。
彭明輝,2003,SARS 防護手冊與傳染途徑分析,國立清華大學。新竹。
游婷珺,2008,細胞骨架蛋白質參與血管緊張素轉化酶2依賴性嚴重急性呼吸道症候群冠狀病毒棘蛋白質之結合,碩士論文,國立臺灣大學醫學院生物化學暨分子生物學研究所。台北。
黃興舒,1998,某區域醫院護理人員針頭防護設備之研究,碩士論文,中國文化大學勞工研究所,頁39-68。
經濟部標準檢驗局,2004,拋棄式醫用防護衣− 性能要求,NS14798,
蔡彥熙,2005,亂流型手術室空氣中生物氣膠的量測調查與分析,碩士論文,國立臺北科技大學冷凍空調工程系所。台北。
繆紹綱譯,2005,Rafael C. Gonzalez, Richard E. Woods, and Steven L. Eddins 著,數位影像處理-運用MATLAB,東華書局,台北。
藍志堅,1991,院內感染管制原理與實用,台北巿,合記圖書出版社。
羅文彰,2004,戶外真菌對住宅暴露之貢獻,碩士論文,國立臺灣大學生物環境系統工程學系。台北。

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