PDCA循环管理在胆囊结石患者腹腔镜手术中的应用研究

Application of PDCA Circulation Management in Laparoscopic Surgery of Patients with Gallbladder Stones

目的:探讨PDCA循环管理在胆囊结石患者腹腔镜手术中的应用。方法:选取2020年1月~2021年1月收治的120例腹腔镜下胆囊结石切除手术患者,随机分为常规组与研究组,比较2组患者术中血压和心率变化值,不良事件发生率及满意度。结果:研究组患者的血压和心率变化值均低于对照组(P<0.05),不良事件发生率低于对照组(P<0.05),术前访视、麻醉及术后满意度均高于对照组(P<0.05)。结论:PDCA循环的持续质量改进能够控制胆囊结石患者腹腔镜手术中的血压和心率变化,减少不良事件,提升患者对术前访视、麻醉及术后满意度。

Objective:To explore the application of PDCA circulation management in laparoscopic surgery for patients with gallbladder stones.Methods:120 patients admitted from January 2020 to January 2021 for laparoscopic cholecystectomy were randomly divided into the conventional group and the study group to compare the values of intraoperative blood pressure and heart rate changes,the incidence of adverse events and satisfaction in the two groups.Results:Patients in the study group had lower blood pressure and heart rate variation values than the control group(P<0.05),lower incidence of adverse events than the control group(P<0.05),and higher satisfaction with preoperative visits,anaesthetic care and postoperative observation care than the control group(P<0.05).Conclusion:The PDCA cycle of continuous quality improvement care can control blood pressure and heart rate variability during laparoscopic surgery in patients with gallbladder stones,reduce adverse events and improve patient satisfaction with preoperative visits,anaesthetic care and postoperative observation care.