人工全髋关节置换手术配合标准操作流程的建立与应用  

Construction and application of standard operation procedures of surgery cooperation in total hip replacement

作　　者：陆立岚[1] 崔枫岚 李雪[1] LU Lilan;CUI Fenglan;LI Xue(Operation Room,Jianhu Hospital Affiliated to Nantong University,Yancheng,Jiangsu,22470)

机构地区：[1]南通大学附属建湖医院手术室,江苏盐城224700

出　　处：《实用临床医药杂志》2018年第14期84-86,共3页Journal of Clinical Medicine in Practice

基　　金：江苏省盐城市医学科技发展项目(YK2014103)

摘　　要：目的探讨标准操作程序(SOP)在人工全髋关节置换手术配合中的应用效果。方法选取80例股骨颈骨折行人工全髋关节置换手术患者作为研究对象,随机分为实验组和对照组各40例,2组手术患者麻醉方法均采用腰-硬联合麻醉。实验组采用标准操作流程进行手术配合,对照组采用常规手术配合方法,比较2组医生满意度、术前物品准备时间、手术体位摆放合格率、手术室护士临床能力考核分。结果实验组医生满意度、术前物品准备时间、手术体位摆放合格率、手术室护士临床能力考核分与对照组比较,差异均有统计学意义(P<0.05)。结论人工全髋关节置换手术配合标准操作流程的建立,为手术室专科培训提供了方向,可迅速提高年轻护士的专科技能,值得推广应用。Objective To investigate effect of standard operation procedures（ SOP） model for operative cooperation in total hip replacement. Methods A total of 80 patients with femoral neck fracture given total hip replacement were recruited in the study,were divided into experimental group（ n = 40） and control group（ n = 40）. The two groups were treated by spinal epidural anesthesia. The standard operation procedure was used in the experimental group,while the control group was given routine operation. Satisfaction of doctors,the preparation time of operative equipments,qualified rate of operation position,and the assessment score in clinical ability of nurses were evaluated. Results There were significant differences in satisfaction of doctors,the preparation time of operative equipments,the qualified rate of operation position,and the assessment score in clinical ability of nurses between two groups（ P〈0. 05）. Conclusion The establishment of standard operation procedure in total hip replacement can provide guidance for specialized training in operating room,and rapidly improve professional skills of young nurses,so it is worthy of application.

关 键 词：标准操作程序 人工全髋关节术 满意度 手术体位 

分 类 号：R472.3[医药卫生—护理学]