时间位点管理在患者围术期中的应用效果  

Application effect of time point management in perioperative period of patients

作　　者：秦秀芳 董雅芳 QIN Xiufang;DONG Yafang(Operating Room,Baoji High-tech Hospital,Baoji 721000,China)

机构地区：[1]宝鸡市高新医院手术室,陕西宝鸡721000

出　　处：《临床医学研究与实践》2023年第28期155-158,共4页Clinical Research and Practice

摘　　要：目的探讨时间位点管理在患者围术期中的应用效果。方法选取2020年5月至2021年5月我院78例手术患者,参照随机数字表法将其分为对照组和观察组,每组39例。对照组实施常规管理,观察组实施时间位点管理。比较两组的管理效果。结果观察组的自主呼吸恢复时间、睁眼时间、麻醉复苏室停留时间均短于对照组,Steward苏醒评分高于对照组(P<0.05)。观察组的复苏期躁动发生率低于对照组(P<0.05)。管理后,两组的肾上腺素(E)、C反应蛋白(CRP)水平及收缩压(SBP)、舒张压(DBP)、呼吸频率(R)均降低,且观察组低于对照组(P<0.05)。观察组的满意度高于对照组(P<0.05)。结论时间位点管理在围术期中的应用效果显著,能够有效改善患者复苏质量,降低复苏期躁动发生情况与应激反应。Objective To explore the application effect of time point management in perioperative period of patients.Methods A total of 78 surgical patients in our hospital from May 2020 to May 2021 were selected.According to the random number table method,the patients were divided into control group and observation group,with 39 cases in each group.The control group implemented routine management,and the observation group implemented time point management.The management effects of the two groups were compared.Results The spontaneous breathing recovery time,eye opening time and duration of stay in anesthesia resuscitation room of the observation group were shorter than those of the control group,and the Steward recovery score was higher than that of the control group(P<0.05).The incidence of agitation during resuscitation in the observation group was lower than that in the control group(P<0.05).After management,the epinephrine(E),C-reactive protein(CRP)levels,systolic blood pressure(SBP),diastolic blood pressure(DBP)and respiratory rate(R)in the two groups decreased,and those in the observation group were lower than the control group(P<0.05).The satisfaction of the observation group was higher than that of the control group(P<0.05).Conclusion The time point management in perioperative period has significant application effect,which can effectively improve the quality of resuscitation of patients,reduce the occurrence of agitation during resuscitation and stress response.

关 键 词：时间位点管理 围术期 应激反应 

分 类 号：R473[医药卫生—护理学]