五种常见战伤手术专科与非专科医师救治时间对比研究  

Operation time of five common kinds of war wound surgery between specialists and non-specialists:a comparative study

作　　者：王海威[1] 王宏[2] 罗晶[1] 武权[1] 王德利[1] 王全玉[3] 

机构地区：[1]海军总医院,北京100048 [2]海军后勤部卫生部,北京100036 [3]北京理工大学,北京100081

出　　处：《军事医学》2012年第8期569-570,574,共3页Military Medical Sciences

基　　金：海军后勤部科研项目资助(BHJ09RD09)

摘　　要：目的通过对常见战伤手术专科与非专科医师手术操作时间进行对比分析,及时了解和掌握临床医师对常见战伤手术救治操作流程与所用时间,从中发现问题并寻求解决方法。方法采用Microsoft Excel 2007和SPSS11.0软件对手术操作时间进行汇总、比较和分析。结果除气管切开术外,其余4种手术专科医师与非专科医师手术操作时间差异有统计学意义。结论①专科医师与非专科医师手术操作时间存在显著差异,影响战时伤员通过速度;②平时开展有针对性的专科手术技能训练,是有效解决战时伤病员救治速度与效果的根本途径;③利用计算机仿真技术模拟专科手术操作,可为医学技能训练提供新方法、新手段。Objective To keep up with the development of war wound surgery and identify the problems and causes. Methods The surgery operation time was collected, compared and analyzed by Microsoft Excel 2007 and SPSSll. 0. Results There was significant difference between specialists and non-specialists in surgery operation time except for trach- eotomy. Conclusion （~）There is significant difference between specialists and non-specialists in surgery operation time, which affects the passing speed; Operation-oriented skills training is the basic solution to major problems with treatment speed and effect of the wounded in wartime; Computer numerical simulation surgery can provide a new way and a new mode for medical skill training.

关 键 词：手术操作 救治时间 战伤救治 卫生勤务 医院管理 

分 类 号：R821.8[医药卫生—临床医学]