手术室腹腔镜使用情况分析  

Application analysis of laparoscope in operating room

作　　者：江明尹 谷亚芬 胡亚冰 刘敦辉 王道雄[1] 韩宝江 JIANG Ming-yin;GU Ya-fen;HU Ya-bing;LIU Dun-hui;WANG Dao-xiong;HAN Bao-jiang(The Center of Clinical Engineering,Department of Medical Equipment,Tongji Hospital,Tongji Medical College of Huazhong University of Science and Technology,Wuhan 430030,China)

机构地区：[1]华中科技大学同济医学院附属同济医院器材科医学工程中心,武汉430030

出　　处：《医疗卫生装备》2025年第2期87-91,共5页Chinese Medical Equipment Journal

基　　金：国家卫生健康委医院管理研究所2024医学工程研究项目(2024MEA103);湖北省卫生健康科研基金资助项目(WJ2021M134,WJ2023F003)。

摘　　要：目的:对手术室在用腹腔镜的使用情况进行分析,以提升腹腔镜的整体使用效能。方法:基于医院的医疗设备智慧管理平台采集29台腹腔镜2024年1月至2024年6月的有效使用数据。采用非参数Kruskal-Wallis检验分析不同科室和不同品牌腹腔镜主机的日均工作量、日均使用时长和日均工作效率的差异,采用非参数MannWhitney秩和检验分析普通和3D腹腔镜主机日均工作量、日均使用时长和日均工作效率的差异,采用Pearson相关系数分析腹腔镜使用年限与日均工作量、日均使用时长和日均工作效率的相关关系,采用卡方检验分析不同手术等级与选用设备类型的关系。结果:研究结果表明,在不同临床科室腹腔镜主机使用中,胸外科的日均工作量最大,为3.82人次;综合医疗科的日均使用时长最长,为443.76 min;综合医疗科的日均工作效率最高,为92.45%。不同临床科室腹腔镜主机的日均工作量、日均使用时长和日均工作效率差异有统计学意义(P<0.05)。在不同品牌腹腔镜中,品牌D的日均工作量、日均使用时长、日均工作效率均为最高,分别为3.72人次、394.41 min、82.17%。不同品牌腹腔镜主机的日均工作量、日均使用时长和日均工作效率差异有统计学意义(P<0.05)。3D腹腔镜主机的日均工作量、使用时长和工作效率均高于普通腹腔镜,差异有统计学意义(P<0.05)。腹腔镜使用年限与日均工作量、日均使用时长和日均工作效率呈显著性负相关关系(皮尔逊相关系数分别为-0.095、-0.039、-0.039)。三、四级腹腔镜手术选用设备类型差异有统计学意义(P<0.001),四级腹腔镜手术更偏向于使用3D腹腔镜。结论:开展腹腔镜使用情况分析,可为腹腔镜优化使用和科学配置提供有效支撑数据。Objective To analyze the application of in-use laparoscopes in clincal departments to enhance the laparoscope's effectiveness.Methods The effective utilization data of 29 laparoscopes from January 2024 to June 2024 were acquired with an hospital intelligent medical device management platform.Comparisons were carried out in terms of average daily workload,average daily hours of use and average daily efficiency between the laparoscopes from different departments and brands with non-parametric Kruskal-Wallis test and between the conventional and 3D laparoscopes with non-parametric Mann-Whitney U test.Pearson's correlation coefficient was used to analyze the correlation between the number of years of laparoscope use and the average daily workload,the average daily hours of use,and the average daily efficiency and the chi-square test was applied to investigating the relationship between the surgery grade and the type of equipment selected.Results Thoracic sugery department had the highest average daily workload(3.82 person-time),while the general medical department had the highest average daily hours of use(443.76 min)and the highest daily efficiency(92.45%).There were significant differences between the laparoscopes from different departments in average daily workload,average daily hours of use and average daily efficiency(P<0.05).Brand D laparoscope behaved the best among brands of laparoscopes with the highest average daily workload(3.72 person-time),average daily hours of use(394.41 min)and average daily efficiency(82.17%).There were sig-nificant differences between the brands of laparoscopesin average daily workload,average daily hours of use and average daily efficiency(P<0.05).3D laparoscopes obviously gained advantages over the conventional ones in average daily workload,average daily hours of use and average daily efficiency(P<0.05).The number of years of use correlated negatively with average daily workload,average daily hours of use and average daily efficiency,with Pearson correlation coefficients being-0.

关 键 词：手术室 腹腔镜 微创治疗设备 使用情况分析 

分 类 号：R318.6[医药卫生—生物医学工程] TH773[医药卫生—基础医学]