CAJ | 학술논문

目的：探讨手术室环境管理在人工关节置换术中的应用效果。方法以本院2011年5月~2013年8月收治的221例人工关节置换术患者为研究对象，按入院时间，将2011年5月~2012年6月收治的113例患者归为对照组，将2012年7月~2013年8月收治的108例患者归为观察组。自2012年7月开始，本院手术室开始进行手术室管理专项行动，比较两组患者术中环境质量、术后感染发生率及医生与患者对手术环境的主观评价情况。结果观察组患者术中手术环境优于对照组，术后感染发生率低于对照组，医生与患者对手术环境的主观评价高于对照组，差异有统计学意义(P<0.05)。结论对手术室进行环境管理可以有效提高人工关节置换术中手术室环境水平，降低患者术后感染的风险，增强医生和患者的主观满意度。
목적：탐토수술실배경관리재인공관절치환술중적응용효과。방법이본원2011년5월~2013년8월수치적221례인공관절치환술환자위연구대상，안입원시간，장2011년5월~2012년6월수치적113례환자귀위대조조，장2012년7월~2013년8월수치적108례환자귀위관찰조。자2012년7월개시，본원수술실개시진행수술실관리전항행동，비교량조환자술중배경질량、술후감염발생솔급의생여환자대수술배경적주관평개정황。결과관찰조환자술중수술배경우우대조조，술후감염발생솔저우대조조，의생여환자대수술배경적주관평개고우대조조，차이유통계학의의(P<0.05)。결론대수술실진행배경관리가이유효제고인공관절치환술중수술실배경수평，강저환자술후감염적풍험，증강의생화환자적주관만의도。
Objective To explore the application effect of environmental management in the operation of artificial joint replacement. Methods 221 patients with the need of artificial joint replacement from May 2011 to August 2013 were selected as the research object,according to admission time,113 patients treated from May 2011 to June 2012 were se-lected as the control group,108 patients treated from July 2012 to August 2013 were selected as the observation group, since the beginning in July 2012,our hospital operating room to begin operating room management initiative,the intraop-erative environmental quality,the incidence of postoperative infection,and doctors and patients subjective assessment of the operation environment of two groups of patients were compared. Results The environmental quality of the observa-tion group was better than that of the control group,lower incidence of postoperative infection than the control group, doctors and patients with subjective assessment of the operation environment was higher than the control group,the dif-ference was statistically significant (P<0.05). Conclusion In the operating room environment management can effective-ly improve the level of artificial joint replacement in the operating room environment,reduce a patient’s risk of postop-erative infection,strengthen the doctor and the patient’s subjective satisfaction.