医护四手操作在鼻内镜手术中的应用效果

Endoscopic sinus surgery： advantages of the four-hands technique of doctor-nurse collaboration

目的 分析探讨鼻内镜手术医护四手操作配合模式的临床应用效果.方法 采用便利抽样方法选取符合入选条件的鼻内镜手术患者50例作为研究对象,患者一侧鼻腔采用传统主刀＂单手操作＂,另一侧进行医护四手操作配合方式,分别记录两侧手术时间和7血量.结果 传统＂单手操作＂一侧和医护四手操作配合一侧的手术时间、7血量分别为（39.30±21.96）min、（143.86±15.01）ml和（31.60±19.27）min、（102.98±12.85）ml,2组比较差异有统计学意义（t=2.096、14.625,P〈0.01）.结论 医护四手操作配合显著减少了手术时间,患者经历了短暂的手术时间,7血量减少,术者获得了更好的手术视野,临床医护合作更加紧密,提高了患者照护质量.

Objective To analyze and discuss the clinical effect of the four-hands technique mode of doctor-nurse collaboration in endoscopic sinus surgery. Methods Convenient sampling method was used to select 50 cases of patients with nasal endoscopic surgery who met the inclusion criteria and agreed to participate in this study in the period between January to May in 2016. Designing one side of the nasal cavity of patients with traditional surgery mode, the other side of the nasal cavity to carry out the four-hands operation mode. The operation time and amount of bleeding were recorded. Results The operation time, amount of bleeding of traditional＂single hand operation＂side and the other side of four-hands operation respectively were （39.30 ± 21.96） min, （143.86 ± 15.01） ml and （31.60 ± 19.27） min, （102.98 ± 12.85） ml, with significant differences between the two groups （t=2.096, 14.625, P〈0.01）. Conclusions The four-hands technique of doctor-nurse collaboration can significantly reduce the operation time, reduce the amount of bleeding and get a better surgical field, clinical nurse and doctor′s cooperation is more closely and also improve the quality of patient care.