新型帐篷医院系统手术模块展开与撤收标准化操作方案探讨  

Standardized scheme for deploying and withdrawing surgical module of new-type tent hospital system

作　　者：苏增标 裴彬宏 许二祥 陈海莺 陈佳娜 潘锦燊 黄艺峰 徐谦 SU Zeng-biao;PEI Bin-hong;XU Er-xiang;CHEN Hai-ying;CHEN Jia-na;PAN Jin-shen;HUANG Yi-feng;XU Qian(Department of Anesthesiology,the 910th Hospital of Joint Logistics Support Force,Quanzhou 362000,Fujian Province,China;Department of Disease Prevention and Control,the 910th Hospital of Joint Logistics Support Force,Quanzhou 362000,Fujian Province,China;Department of Nursing,the 910th Hospital of Joint Logistics Support Force,Quanzhou 362000,Fujian Province,China;Department of Ophthalmology,the 910th Hospital of Joint Logistics Support Force,Quanzhou 362000,Fujian Province,China;Department of Information,the 910th Hospital of Joint Logistics Support Force,Quanzhou 362000,Fujian Province,China;Department of Medical Imaging,the 910th Hospital of Joint Logistics Support Force,Quanzhou 362000,Fujian Province,China;Department of Orthopedics,the 910th Hospital of Joint Logistics Support Force,Quanzhou 362000,Fujian Province,China)

机构地区：[1]联勤保障部队第910医院麻醉科,福建泉州362000 [2]联勤保障部队第910医院疾病预防控制科,福建泉州362000 [3]联勤保障部队第910医院护理部,福建泉州362000 [4]联勤保障部队第910医院眼科,福建泉州362000 [5]联勤保障部队第910医院信息科,福建泉州362000 [6]联勤保障部队第910医院医学影像科,福建泉州362000 [7]联勤保障部队第910医院骨科,福建泉州362000

出　　处：《医疗卫生装备》2025年第2期74-79,共6页Chinese Medical Equipment Journal

基　　金：军队科研项目(CWX22J003)。

摘　　要：目的:探讨新型帐篷医院系统手术模块展开与撤收的标准化操作方案。方法:从队员分工、操作顺序、操作技巧、注意事项等方面总结出一套手术模块展开与撤收的标准化操作方案并进行实施。记录方案实施前后各5次展开与撤收的操作时间、操作失误次数、装备损坏次数,并记录方案实施后队员操作结束后的即刻心率、个人最大心率百分比、主观体力感觉等级(rating of perceived exercise,RPE)评分。采用SPSS 26.0软件对数据进行统计分析。结果:实施标准化操作方案后,手术模块的展开、撤收时间分别为(58.23±8.513)min、(48.92±7.129)min,短于方案实施前[(85.15±11.430)min、(65.36±9.369)min],差异有统计学意义(P<0.05);方案实施后的操作失误次数、装备损坏次数均低于实施前;操作结束后队员的即刻心率为43~157次/min,平均为151.1次/min,个人最大心率百分比为75%~87%,平均为81.1%,RPE评分为14~17分,平均为15.3分,均属于中等作业强度。结论:标准化操作方案可实现手术模块的快速、高质量展开与撤收,能够满足实战及训练考核的需要,可在装备该新型帐篷医院系统手术模块的卫勤机构中推广应用。Objective To explore the scheme for the deployment and withdrawal of the surgical module of the new-type tent hospital system.Methods A set of standardized scheme for deploying and withdrawing the surgical module of the new-type tent hosital system was proposed and implemented in terms of labor division,operation precedure,operation technique and precaution.The operating time,number of operational errors and number of equipment damages were recorded for each of the five deployment and withdrawal operations before and after the program was executed,and the team members'immediate heart rate,percentage of maximum heart rate(MHR)and rating of perceived exercise(RPE)at the end of the operation were recorded after the program was implemented.SPSS 26.0 software was used for statistical analysis.Results The standardized scheme had the deployment time shortened from(85.15±11.430)min to(58.23±8.513)min,withdrawal time decreased from(65.36±9.369)min to(48.92±7.129)min,with the differences being statistically significant(P<0.05);the numbers of operatio-nal errors and equipment damages were both reduced when compared with those before the implementation of the schemce;the immediate heart rate of the team members at the end of the operation ranged from 43 to 157 beats/min,with an average value of 151.1 beats/min,the individual MHR percentages were from 75%to 87%,with an average value of 81.1%,and the RPE scores were from 14 to 17,with an average value of 15.3,which all could be categorized as moderate-operation intensity.Conclusion The standardized deployment and withdrawal scheme for the surgical module meets the needs of actual combat and training assessment,and thus is worthy promoting in medical institutions equipped with the surgical module of the new-type tent hosital system.

关 键 词：新型帐篷医院系统 手术模块 展开与撤收 标准化操作方案 

分 类 号：R318[医药卫生—生物医学工程] R197.39[医药卫生—基础医学]