优化链霉蛋白酶溶解方法对胃镜检查前护理配药工作效率的影响

Effect of optimized method of Streptomyces proteinolytic on nursing dispensing efficiency before gastroscopy

目的探讨3种不同链酶蛋白酶溶解方法对提升胃镜检查前护理配药工作效率的影响。方法采用实验性研究。于2024年3月中山大学附属第五医院消化内镜中心采用传统搅拌法、密闭容器震荡法和电动搅拌法,分别溶解20000 U链霉蛋白酶+1 g碳酸氢钠+50 ml水混合物,每组实验30次,观察指标为液体中药粉完全溶解所用时间。采用t检验进行统计比较。结果电动搅拌法为最优法,在时间上明显优于传统搅拌法与密闭容器震荡法。单人份配置时间:传统搅拌法用时(118.3±5.0)s,密闭容器震荡法平均用时(40.0±3.5)s,电动搅拌法平均用时(25.0±4.0)s,电动搅拌法比传统搅拌法平均用时减少93.3 s,比密闭容器震荡法平均用时减少15.0 s,差异均有统计学意义(均P<0.001);10人份配置时间:传统搅拌法平均用时(199.8±12.5)s,密闭容器震荡法平均用时(79.7±5.0)s,电动搅拌法用时(39.8±6.0)s,电动搅拌法比传统搅拌法平均用时减少160.0 s,比密闭容器震荡法平均用时减少39.9 s,差异均有统计学意义(均P<0.001)。结论电动搅拌法能有效减少胃镜检查前的配药时间,提升护理工作效率。

Objective To investigate the effect of three different methods on the dissolution of streptomyase protease and improve the efficiency of nursing dispensing before gastroscopy.Methods In Center of Digestive Endoscopy,Fifth Hospital,Sun Yat-sen University in March 2024,the traditional stirring method,closed container shock method,and electric stirring method were used to dissolve 20000 U streptomycin+1 g sodium bicarbonate+50 ml water mixture,respectively,with 30 experiments in each group.The observation indicator was the time taken for the liquid powder to completely dissolve.t test was used.Results The electric stirring method was the best method,and was better in time than the traditional stirring method and the closed container shock method.The single part configuration time was(118.3±5.0)s by the traditional stirring method,(40.0±3.5)s by the closed container shock method,and(25.0±4.0)s by the electric stirring method.The average time of the electric stirring method was 93.3 seconds less than that of the traditional stirring method;the average time of the electric stirring method was 15.0 seconds less than that of the closed container shock method;the difference was statistically significant(P<0.001).The 10-person configuration time by the traditional stirring method was(199.8±12.5)s;the time by the closed container shock method was(79.7±5.0)s;the time by the electric stirring method was(39.8±6.0)s.The average time of the electric stirring method was 160.0 seconds less than that of the traditional stirring method;the average time of the electric stirring method was 39.9 seconds less than that of the closed container shock method;the difference was statistically significant(P<0.001).Conclusion The electric stirring method can effectively reduce the time of dispensing before gastroscopy and improve the efficiency of nursing work.