PDCA改良模式在乳腺良性肿瘤乳腺微创旋切术中的应用效果

Application Effect of Modified PDCA Model in Minimally Invasive Breast Circumcision for Benign Breast Tumors

目的:分析计划(P)、执行(D)、检查(C)、行动(A)改良模式在乳腺良性肿瘤乳腺微创旋切术中的应用效果。方法:选取2022年7月—2024年1月黔西南州中医院外科收治的80例乳腺良性肿瘤患者。根据信封法平均将其分为对照组和观察组,各40例。两组均行乳腺微创旋切术治疗,对照组实施传统手术模式,观察组实施PDCA改良模式。比较两组围手术期指标,治疗效果满意度及并发症。结果:观察组手术时间、切口愈合时间均短于对照组,术中出血量少于对照组,视觉模拟评分法(VAS)评分低于对照组,差异有统计学意义(P<0.05)。观察组乳房饱满挺拔程度、乳房轮廓弧度、乳房正常位置、乳房皮肤光泽度评分均高于对照组,差异有统计学意义(P<0.05)。观察组术区血肿及并发症总发生率均低于对照组,差异有统计学意义(P<0.05)。结论:在乳腺良性肿瘤乳腺微创旋切术中应用PDCA改良模式可以提高患者的手术疗效,降低并发症总发生率。

Objective:To analyze the application effect of modified plan(P),do(D),check(C),action(A)model in minimally invasive breast circumcision for benign breast tumors.Method:A total of 80 patients with benign breast tumors were selected from July 2022 to January 2024 in the Surgery Department of Qianxinan Autonomous Prefecture Hospital of TCM.According to envelope method,they were divided into control group and observation group,40 cases in each group.The two groups underwent minimally invasive breast circumcision,the control group underwent traditional surgery mode,and the observation group underwent modified PDCA mode.Perioperative indexes,satisfaction with treatment effect and complications were compared between the two groups.Result:The operation time,incision healing time of the observation group were shorter than those of the control group,the intraoperative blood loss volume was less than that of the control group,and the visual analogue scale(VAS)score was lower than that of the control group,the differences were statistically significant(P<0.05).The degree of breast fullness and straightness,breast contour curvature,absolute breast position and breast skin gloss score in observation group were higher than those in control group,and the differences were statistically significant(P<0.05).The incidence of hematoma and total complications in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:The application of modified PDCA mode in minimally invasive breast circumcision for benign breast tumors can improve the surgical efficacy of patients,reduce the total incidence of complications.