手术室优化措施对大隐静脉曲张手术患者术后恢复进程及临床疗效的影响

Effect of operation room optimization measures on postoperative recovery and clinical efficacy of patients undergoing varicose great saphenous vein surgery

目的探讨手术室优化措施对大隐静脉曲张手术患者术后恢复进程及临床疗效的影响。方法收集2020年9月至2021年12月于河北北方学院附属第一医院接受手术治疗的96例大隐静脉曲张患者的临床资料。根据是否实施手术室优化措施将患者分为常规组和优化组,每组48例。观察并比较两组患者不同时间[麻醉诱导前(T_(0))、手术开始后10 min(T_(1))、术毕即刻(T_(2))]的血流动力学指标、手术配合度、手术相关指标、术后恢复进程指标及术后并发症发生率。采用静脉临床严重程度评分(VCSS)和慢性静脉功能不全问卷-20(CIVIQ-20)评估并比较两组患者术后6个月的临床疗效。结果两组患者T_(0)时的心率和平均动脉压比较,差异均无统计学意义(P>0.05);优化组患者T_(1)、T_(2)时的心率和平均动脉压均低于常规组患者,差异均有统计学意义(P<0.05)。优化组患者的手术配合度评分明显高于常规组患者,手术时间、出院时间、患肢酸胀感消失时间及患肢沉重、麻木感的消失时间均明显短于常规组患者,差异均有统计学意义(P<0.01)。优化组患者术后并发症总发生率低于常规组患者,差异有统计学意义(P<0.05)。术后6个月,优化组患者的VCSS明显低于常规组,CIVIQ-20评分明显高于常规组患者,差异均有统计学意义(P<0.01)。结论手术室优化措施能够提高手术配合度和手术效率,促进患者术后恢复,降低术后并发症的发生风险,辅助提高临床疗效。

Objective To investigate the effect of operation room optimization measures on postoperative recovery and clinical efficacy of patients undergoing varicose great saphenous vein surgery.Method Clinical data of 96 patients with varicose great saphenous vein who received surgical treatment in the First Affiliated Hospital of Hebei North University from September 2020 to December 2021 were selected.The patients were divided into conventional group and optimization group,48 cases in each group according to whether or not the operating room optimization measures were implemented.The hemodynamic indexes at different times[before anesthesia induction(T_(0)),10 min after surgery(T_(1)),and immediately after surgery(T_(2))],operative cooperation,surgery-related indexes,postoperative recovery process indexes and postoperative complication rate of the two groups were observed and compared.The clinical efficacy of the two groups at 6 months after surgery was evaluated and compared by venous clinical severity score(VCSS)and chronic venous insufficiency questionnaire-20(CIVIQ-20).Result There was no significant difference for the heart rate and mean arterial pressure between the two groups at T_(0)(P>0.05);the heart rate and mean arterial pressure at T_(1) and T_(2) in the optimization group were lower than those in the conventional group,and the differences were statistically significant(P<0.05);the operation cooperation score of the optimization group was higher than that of the conventional group,the operation time,discharge time,disappearance time of acid distension and heavy numbness of the affected limb in the optimization group were significantly lower than those of the conventional group,and the differences were statistically significant(P<0.01);the total incidence rate of postoperative complications in the optimization group was lower than that in the conventional group,and the differences were statistically significant(P<0.05).Six months after surgery,the VCSS in optimization group were lower,and CIVIQ-20 scores were higher than those in the conventional group(P<0.05).Conclusion Operation room optimization measures can improve surgical cooperation and efficiency,promote postoperative recovery of patients,reduce the risk of postoperative complications,and assist in improving clinical efficacy.