影响PACU运转的相关因素分析

An analysis of relevant factors on Postanesthetic Care Unit

目的探讨影响麻醉后恢复室(PACU)运转的相关因素,合理分配人力资源,减少PACU并发症的发生。方法选择2011年11月-2012年11月入PACU的8 046例患者,记录在PACU中的带管时间、留观时间和并发症的发生情况。结果 8 046例中普外科患者最多(26.5%),其次为妇科(19.2%)、耳鼻喉科(17.8%);并发症总的发生率为14.3%,其中发生率最高的为高血压(7.6%);平均带管时间为(28.9±26.5)min,平均留观时间为(81.8±33.2)min。胸外科带管时间最长,为(39.0±35.2)min,留观时间最长,为(98.1±40.3)min,其次是神经外科。年龄≥70岁患者留观时间最长,为(108.5±43.4)min。结论年龄≥70岁患者、胸科和神经外科、高血压等并发症是影响PACU周转的重要因素。

Objective This paper aims to explore the related factors affecting the operation of PACU for a better distribution of manpower resources and less incidence of PACU complications.Methods CAPU pa-tients from 2011.9 to 2012.9 were observed to record their time with tracheal tube,staying time in PACU and the incidence of complications in PACU.Results Within 12 months,there were 8046 patients entering the PACU,and among them the patients with general surgery（26.5%）gynecology（19.2%）and otorhino-laryngology（17.8%）ranked high;The total incidence of complications was 14.3%,with hypertention the highest（7.6%）;The time with tracheal tube was（28.9±26.5）min on average,the average whole time in PACU was（81.8±33.2）min.The time with tracheal tube in thoracic surgery was the longest（39.0±35.1） min,the whole time in PACU was（98.1±40.3）min,the next was the neurosurgery.Patients aged 70＋have the longest time with tracheal tube,about（108.5 ± 43.4）min.Conclusion Patients aged 70＋, thoracic surgery,neurosurgery and complications such as hypertention are the important factors affecting PACU turnover.