经皮脊柱内镜手术护理配合标准操作规程  

On Standard Operating Procedure for Nursing Cooperation in Percutaneous Endoscopic Spinal Surgery

作　　者：刘训俭 王兢[1] 李想 王菲[1] 李云生[1] Liu Xunjian;Wang Jing;Li Xiang(Operating Room,Beijing Friendship Hospital of Capital Medical University,Beijing 100050,China;不详)

机构地区：[1]首都医科大学附属北京友谊医院中心手术室,北京100050 [2]首都医科大学附属北京友谊医院中心骨科,北京100050

出　　处：《中国微创外科杂志》2023年第2期124-128,共5页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的 构建经皮脊柱内镜手术护理配合标准操作规程(standard operating procedure, SOP),探讨其应用效果。方法 构建以患者为中心的经皮脊柱内镜手术护理配合SOP。选择2021年3月~2022年8月200例经皮脊柱内镜手术,前100例为对照组,按最初依据个人经验的流程和方式进行手术护理配合;后100例为观察组,按照经皮脊柱内镜手术护理配合SOP进行手术护理配合。比较2组手术时间、手术间环境设置、术中器械故障和外出取物致手术停顿、皮肤受压情况。结果与对照组相比,观察组手术时间短[(89.2±16.9)min vs.(94.8±22.8)min,t=-1.995,P=0.047],手术间环境设置分级高(P=0.000),术中器械故障和外出取物致手术停顿少[15例vs. 28例,χ^(2)=5.007,P=0.025;7例vs. 18例,χ^(2)=5.531,P=0.019],皮肤受压少[20例vs. 38例,χ^(2)=7.868,P=0.005]。结论 本研究构建的经皮脊柱内镜手术护理配合SOP,可以缩短手术时间,手术间环境设置更为合理方便,减轻皮肤受压,减少器械问题和外出取物。Objective To establish the standard operating procedure(SOP) for nursing cooperation in percutaneous endoscopic spinal surgery and to explore its application effect. Methods A patient-centered percutaneous endoscopic spinal surgery nursing SOP was constructed. A total of 200 cases of percutaneous endoscopic spinal surgery from March 2021 to August 2022 were selected. The first 100 cases were selected as the control group, and the operation nursing cooperation was performed according to personal experience. The last 100 cases were selected as the observation group with SOP of nursing cooperation of percutaneous endoscopic spinal surgery. The operation time, environment setting of the operation room, operation pause because of intraoperative instrument failure or going out for medical supplies, and the redness skin of compression were compared between the two groups.Results Compared with the control group, the observation group had shorter operation time [(89.2±16.9) min vs.(94.8±22.8) min, t=-1.995, P=0.047], higher graded environment setting of the operating room(P=0.000), less operation pause due to intraoperative instrument failure or going out for medical supplies [15 cases vs. 28 cases, χ^(2)=5.007, P=0.025;7 cases vs. 18 cases, χ^(2)=5.531, P=0.019], and less redness skin of compression [20 cases vs. 38 cases, χ^(2)=7.868, P=0.005].Conclusion The nursing of percutaneous endoscopic spinal surgery with SOP constructed in this study can shorten the operation time, make the setting of the operating room more reasonable and convenient, reduce the skin pressure, and reduce the instrument problems and frequency of going out for medical supplies.

关 键 词：经皮脊柱内镜手术 护理配合 标准操作规程 

分 类 号：R473.6[医药卫生—护理学]