CAJ | 학술논문

目的探讨流程管理在全身麻醉带气管插管患者术后转运过程中的作用. 方法采用随机数字表法,将全身麻醉术后带气管插管患者分为程序化转运组和传统转运组,每组60例. 记录2组患者转运时间、转运过程中心率、血氧饱和度、脉压差值及发生转运不良事件的例数. 结果程序化转运组转运时间明显短于传统转运组转运时间[(4.75±0.54) min比(7.05±0.88) min ],差异有统计学意义,t=-17.21,P<0.01;程序化转运组相比传统转运组不良事件的发生率明显降低[ 1.67%(1/60)比13.33%(8/60) ],差异有统计学意义,Χ2=4.324 3,P<0.05. 结论流程管理方法能有效提高全身麻醉带气管插管患者术后转运效率并提高转运安全性.
목적 탐토류정관리재전신마취대기관삽관환자술후전운과정중적작용. 방법 채용수궤수자표법,장전신마취술후대기관삽관환자분위정서화전운조화전통전운조,매조60례. 기록2조환자전운시간、전운과정중심솔、혈양포화도、맥압차치급발생전운불량사건적례수. 결과 정서화전운조전운시간명현단우전통전운조전운시간[(4.75±0.54) min비(7.05±0.88) min ],차이유통계학의의,t=-17.21,P<0.01;정서화전운조상비전통전운조불량사건적발생솔명현강저[ 1.67%(1/60)비13.33%(8/60) ],차이유통계학의의,Χ2=4.324 3,P<0.05. 결론 류정관리방법능유효제고전신마취대기관삽관환자술후전운효솔병제고전운안전성.
Objective To evaluate transport efficiency and safety by process management during the handover of patients with tracheal intubation post-operation. Methods Prospective studies were performed between patients with or without process management during the handover. The time of handover were recorded and compared. The difference between systolic and diastolic blood pressure, heart rate, and arterial oxygen saturation were also recorded and compared. The adverse events during the handover were also investigated. Results It costed less time in the handover of patients under process management with significant difference[(4.75±0.54) min vs. (7.05±0.88) min, t=-17.21, P<0.01]. The incidence rate of harmful cases in the handover of patients under process management was significantly declined than that without process management[ 1.67%(1/60) vs. 13.33%(8/60),Χ2=4.324 3,P<0.05 ]. Conclusions Process management may facilitate the handover of patients with tracheal intubation post-operation and improve its safety.