AR远程指导系统在抗击新型冠状病毒肺炎疫情中的临床应用

Clinical application of AR remote guidance system during response to COVID-19

目的:对AR远程指导系统在抗击新型冠状病毒肺炎疫情中的应用价值进行探讨。方法:收集全国19家抗疫一线医院中该系统的使用信息,按照使用类别划分为医生指导、护理指导及非医疗指导,并分类统计具体场景中云服务器的使用频次、时间及地域,记录系统使用的具体内容及使用结果。采用SPSS 25.0软件和描述性统计方法对数据进行分析处理。结果:该系统的总使用频次为2201次,医生指导、护理指导和非医疗指导的使用频次分别为328次(14.90%)、436次(19.81%)和1437次(65.29%),指导成功率分别为79.27%、97.48%和98.89%。以每次使用减少一套防护用品(1件防护服、1个口罩、1副医用护目镜)计算,约减少使用防护用品6603件;以每次操作平均节约时间成本30 min计算,共节约时间成本1100.5 h;减少与确诊患者密切接触次数>2201次。结论:AR远程指导系统的应用既可以减少医疗防疫物资的损耗、降低医源性感染风险概率,还可以使援助疫区的年轻医护人员快速掌握临床技能、应对临床突发问题,达到快速提升临床医护人员救治效能的目的,具有广阔的应用前景。

Objective To explore the application value of the AR remote guidance system for remote medical guidance during response to COVID-19.Methods The application data of the system were collected from 19 first-line hospitals in China,and then according to provider source were divided into three types for doctor guidance,nursing guidance and non-medical guidance respectively.Classification statistics analyses were executed over the use frequency,time and domain of the cloud server as well as the application purposes and results.SPSS 25.0 software and descriptive statistics method were used for data analysis and processing.Results Totally 2201 times of system application were recorded,of which,there were 328 times(14.90%)for doctor guidance,436 times(19.81%)for nursing guidance and 1437 times(65.29%)for non-medical guidance;the success rate was 79.27%for doctor guidance,97.48%for nursing guidance and 98.89%for non-medical guidance;supposing that one times of system application saved half an hour as well as one suit involving one piece of protective clothing,one mask and one pair of medical goggles,there were 6603 pieces of protective articles and 1100.5 hours saved;totally more than 2201 times of close contacts were avoided.Conclusion The AR remote guidance system contributes to saving medical protective resources,decreasing nosocomial infection and enhancing young medical staffs of the affected area in responses to clinical emergencies,and thus is worthy promoting practically.