改良的快通道PACU出室评估工具在骨肿瘤科的应用分析  

Application and related research of a modified fast-tracking PACU discharge assessment tool in the field of bone oncology

作　　者：刘伟[1] 武捷 齐莹 杨阳[1] 何苗[1] Liu Wei;Wu Jie;Qi Ying;Yang Yang;He Miao(Department of Anesthesiology,Peking University People′s Hospital,Beijing 100044,China)

机构地区：[1]北京大学人民医院麻醉科,北京100044

出　　处：《中华预防医学杂志》2025年第2期235-239,共5页Chinese Journal of Preventive Medicine

基　　金：北京大学人民医院研究与发展基金护理科研项目(RDN2022-20)。

摘　　要：评价改良的快通道麻醉恢复室(PACU)出室评估工具在骨肿瘤科的应用效果,以期预防和减少骨肿瘤手术患者术后不良事件发生。采用前瞻性对照研究设计,选入2023年1—12月在北京大学人民医院 PACU 观察的行全身麻醉手术治疗的81例骨肿瘤患者作为研究对象,应用随机数字表法分为对照组和干预组,分别为43例和38例。对照组和干预组分别采用快通道评分系统、改良的快通道评分系统作为出室评估工具。采用独立样本 t检验比较两组患者PACU停留时间、出PACU时平均动脉压(MAP)、心率、血氧饱和度(SpO_(2)),采用卡方检验比较两组不良事件发生情况。结果显示,干预组PACU停留时间[(55.58±23.83)min vs.(46.14±21.87)min]以及PACU出室时MAP[(88.23±11.52)mmHg vs.(86.25±10.62)mmHg]、心率[(86.25±10.62)次/min vs.(72.93±18.86)次/min]、SpO_(2)[(99.84±0.68)% vs.(99.86±0.91)%]与对照组比较,差异均无统计学意义( t分别为1.859、0.805、1.003、0.101, P均>0.05)。干预组不良事件总发生率显著低于对照组(68.42% vs. 90.70%, χ^(2)=4.988, P<0.05)。综上,改良快通道评分系统可能会减少骨肿瘤手术患者PACU不良事件的发生,但并不影响PACU停留时间和患者循环系统状态。To evaluate the effectiveness of the modified post anesthesia care unit(PACU)discharge assessment tool in the field of bone oncology,in order to prevent and reduce postoperative adverse events in patients undergoing bone tumor surgery.This is a prospective controlled study.81 bone tumor patients who underwent general anesthesia surgery in the PACU from January to December 2023 were prospectively selected as the study subjects.They were randomly divided into a control group and an intervention group using a random number table method,with 43 and 38 cases,respectively.The control group and intervention group respectively used the fast track scoring system and the improved fast track scoring system as exit assessment tools.Independent sample t-test was used to compare the duration of PACU stay,mean arterial pressure(MAP)at PACU exit,heart rate,and blood oxygen saturation(SpO_(2))between two groups of patients.Chi square test was used to compare the occurrence of adverse events between the two groups.The results showed that there was no statistically significant difference between the intervention group and the control group in terms of PACU dwell time[(55.58±23.83)min vs.(46.14±21.87)min],MAP at PACU[(88.23±11.52)mmHg vs.(86.25±10.62)mmHg],heart rate[(86.25±10.62)beats/min vs.(72.93±18.86)beats/min],and SpO_(2)[(99.84±0.68)%vs.(99.86±0.91)%](t=1.859,0.805,1.003,0.101,all P>0.05).The total incidence of adverse events in the intervention group was significantly lower than the control group(68.42%vs.90.70%,χ^(2)=4.988,P<0.05).In conclusion,the modified fast-tracking criteria can significantly reduce the incidence of adverse events in PACU patients undergoing bone tumor surgery,but does not affect PACU dwell time and patient circulatory status.

关 键 词：麻醉恢复室 出室评估工具 快速通道评分系统 改良快速通道评分系统 骨肿瘤 

分 类 号：R61[医药卫生—外科学]