移动式可折叠多功能操作台在手术室的应用

Application of a moving folding multifunction operating platform in operation room

目的 探讨移动式可折叠多功能操作台在手术室的应用效果,以解决连台截石位手术体位安置中频繁拆卸和安装手术床腿板的耗时费力问题和上肢外展位手术、有创穿刺、麻醉操作等需的操作台.方法 自行研制移动式可折叠多功能操作台,选取2015年3—6月泌尿外科连台截石位手术患者160例,采用随机数字表法分为对照组和试验组各80例,对照组患者采用常规体位安置程序,试验组采用移动式可折叠多功能操作台进行体位安置,观察两组患者术前、手术结束时体位安置所耗时间;并评价移动式可折叠多功能操作台在114例次上肢外展位手术、桡动脉穿刺置管、麻醉穿刺中的应用效果.结果 在连台截石位手术中,试验组患者手术结束转换体位总耗时、手术体位安置总耗时分别为（209.41±33.36）、（622.33±62.16）s,对照组分别为（665.83±90.92）、（1118.33±88.86）s,差异有统计学意义（t=16.324、15.844,P〈0.05）,试验组完成1台截石位手术,术前及手术结束时安置体位总耗时比对照组减少44.03%（即减少8.16 min/台）,减轻护士身体负荷60 kg;在上肢外展位手术、桡动脉穿刺置管、麻醉穿刺中,操作台安全性评分为（26.83±1.53）分,功效性评分为（27.42±1.56）分,均属于高水平.结论 操作台操作简便、实用性强,能满足手术室多种技术操作需求,有助于优化手术室特殊手术体位安置的工作流程,减轻护士工作负荷,提高工作效率.

Objective To discuss the effect of a moving folding multifunction operating platform in operation room so as to solve time-consuming and efforts in the putting lithotomy position of repeating placement and removal surgery bed legs plate and supply the operating platform in the surgery of the upper limb, inva-sive puncture and anesthesia operation.Methods A moving folding multifunction operating platform was self-designed. A number of 160 cases undergoing operation in lithotomy position in the urology department from March to June 2016 were randomly divided into the experimental group （80 cases） and the control group （80 cases）. The routine nursing method were carried out in patients in the control group, while adopted operating platform were used in patients in the experimental group. Time-consuming pre and post operation were investigated. Application effects of moving folding multifunction operating platform in 114 cases including the surgery of the upper limb, invasive puncture and anesthesia operation were evaluated.Results During continues lithotomy position surgery, time consuming of changing position and position placement in the experimental group were （209.41±33.36） s and （622.33±62.16） s respectively, while those in the control group were （665.83±90.92） s and （1118.33±88.86） s. The differences were statistically significant between two groups （t=16.324, 15.844;P〈0.05）. In one lithotomy position surgery, time consuming of position placement pre and post operation were reduced 44.03% （saved 8.16 minutes/surgery） compared to that in the control group. It alleviated 60 kg body burden of nurses. The safety and performance evaluation in the surgery of the upper limb, invasive puncture and anesthe-sia operation were in high levels with scores of （26.13±1.53） and （27.42±1.56） respectively.Conclusions The platform, which is practical and easy to use, contributes to meet the needs of a variety of technical operation in the operation room and helps optimizing procedure in transformation, reducing work load of nurse so as to im-prove efficiency and quality of work.