"可视化图谱"在冠状动脉旁路移植术中的应用  

Application of "visual nursing map" in coronary artery bypass grafting

作　　者：王兢[1] 邢建坤 陈晓敏 吴迪 Wang Jing;Xing Jiankun;Chen Xiaomin;Wu Di(Anesthesia Surgery Center,Beijing Friendship Hospital,Capital Medical University,Beijing 100050,China)

机构地区：[1]首都医科大学附属北京友谊医院麻醉手术中心,北京100050

出　　处：《国际外科学杂志》2025年第3期189-193,F0004,共6页International Journal of Surgery

基　　金：新型中小管径人工血管的研究(Z231100004823006)。

摘　　要：目的:探讨"可视化图谱"在冠状动脉旁路移植术(CABG)中的应用效果。方法:采用回顾性病例分析方法,分析2021年6月—2023年6月首都医科大学附属北京友谊医院收治的76例行CABG患者的临床资料。将2021年6月—2022年5月收治的38例患者作为对照组,将2022年6月—2023年6月收治的38例患者作为观察组。对照组患者进行常规术中方案,观察组患者术中在此基础上采用"可视化图谱"方案。观察比较两组患者术前开台时间和手术中断时间。计量资料以均数±标准差(±s)表示,组间比较采用t检验;计数资料以例数和百分比[例(%)]表示,组间比较采用χ^(2)检验。结果:对照组患者术前开台时间为(93.2±8.5)min,其中心外科能量设备、器械台车摆放耗时较长,分别为(6.4±0.8)min和(32.6±3.5)min。手术中断时间为(7.3±0.7)min,占时较长因素是冠脉旁路移植近端、远端血管吻合配合不熟练以及手术无菌用物准备不齐全,分别为(2.2±0.4)min和(1.4±0.3)min。观察组患者采用"可视化图谱"方案管理后,术前开台时间和术中中断时间均较对照组显著缩短,分别为(79.4±5.4)min与(93.2±8.5)min、(4.4±0.6)min与(7.3±0.7)min,差异均具有统计学意义(P<0.05)。结论:CABG中应用"可视化图谱"可有效减少术前开台时间和术中中断时间,可以进一步推广使用。Objective:To explore the application effect of"visual nursing map"in coronary artery bypass grafting(CABG).Methods:A retrospective analysis was made on 76 patients who underwent CABG in Beijing Friendship Hospital,Capital Medical University from June 2021 to June 2023.38 cases admitted from June 2021 to May 2022 were included in the control group,and 38 cases admitted from June 2022 to June 2023 were included in the observation group.The control group was given intraoperative routine nursing,and the observation group was given"visual nursing map"nursing measures on this basis.The preoperative preparation time and intraoperative pause time between the two groups were observed and compared.The measurement data were expressed as mean±standard deviation(±s),and t-test was used for inter-group comparison.Counting data were expressed as cases and percentages,and Chi-square test was used for inter-group comparison.Results:In the control group,the preoperative preparation time was(93.2±8.5)min,and the longest procedure was the placement of electrosurgical equipment and instrument trolley,which were(6.4±0.8)min and(32.6±3.5)min,respectively.The intraoperative pause time was(7.3±0.7)min,and the longest time was the unskilled nursing cooperation of proximal and distal vascular anastomosis and the incomplete preparation of sterile surgical materials,which were(2.2±0.4)min and(1.4±0.3)min,respectively.In the observation group,the preoperative preparation time and intraoperative pause time were significantly reduced compared with the control group after the use of"visual nursing map"management on the basis of the control group,which were(79.4±5.4)and(93.2±8.5)min,(4.4±0.6)and(7.3±0.7)min,respectively,and the differences were statistically significant(P<0.05).Conclusion:The application of"visual nursing graph"in CABG can effectively reduce the preoperative preparation time and intraoperative pause time,and should be further promoted.

关 键 词：冠状动脉旁路移植术 非体外循环手术室围手术期医护 

分 类 号：R654.2[医药卫生—外科学]