3M精准定位搬运法在全麻术后患者中的应用

Application of 3M precise locating handling method in patients with general anesthesia

目的 探讨多人多点多合作（3M）精准定位搬运法在全麻手术后患者搬运过程中的安全性和可行性.方法 选取2016年10月—2017年1月在福建省肿瘤医院接受全麻手术的患者138例,随机分为两组,观察组（n=69）使用3M精准定位搬运法,对照组（n=69）采取传统搬运法.评价两组在搬运时耗、使用人数、搬运过程中是否出现管道滑脱,以及搬运前后1 min内患者心率和收缩压的变化量等指标.结果 观察组患者搬运时耗为（134.38±41.69）s,短于对照组（201.71±49.34）s,差异有统计学意义（P〈0.05）;观察组无一例出现管道滑脱,对照组共出现6例管道滑脱情况;对照组搬运前后心率及收缩压变化量均高于观察组,两组比较差异有统计学意义（P〈0.05）.结论 与传统方法对比,3M精准定位搬运法可提高全麻手术后患者的搬运效率及安全性,对患者心率和血压影响较小,值得临床推广应用.

Objective To explore the safety and feasibility of the ＂many people, many point, many cooperation （3M）＂ precise locating handling method in transferring general anesthesia patients according to the business process reengineering （BPR） theory. Methods A comparative analysis on 138 patients who had undergone general anaesthesia operation between October 2016 and January 2017 was performed. The research objects were divided into two groups randomly. The patients in observation group （n=69） was transferred by 3M method, while the patients in control group （n=69） was transferred by traditional method. The indicators of the two groups were compared, including transferring time, the number of people involved, the rate of tube slippage during transferring, the changes of heart rates and systolic blood pressure in one minutes before and after handling. Results The time used to handle the patient is much shorter in observation group （134.38±41.69） s than that in control group （201.71±49.34）s, with statistical difference （P〈0.05）. It needed four people to transfer in all cases of the observation group, while more than four people are needed in 9 cases of the control groups. There was no tube slippage case in the observation group, while 6 tube slippage cases in control group. The changes of heart rates and systolic blood pressure of patients within one minute before and after carrying are much higher in control group than in observation group,the differences were statistically significant （P〈0.05）. Conclusions In contrast to the traditional transferring method, 3M handling method is safer and more efficient for patients after general anaesthesia operation. It was also showed having less effect on patients heart rate and blood pressure. In conclusion,3M handling method is well worth clinical application.