麻醉后恢复室对手术患者安全复苏及手术间利用率 - 第三军医大学学报.doc

团队化的麻醉后恢复室对患者术后复苏及手术间利用率的影响 刘德行1 朱昭琼1 张超1 张帆1 鲁开智2（1遵义医学院附属医院麻醉科，贵州遵义563000，2第三军医大学西南医院麻醉科，重庆 400038） 【摘要】 目的 研究PACU对术后患者复苏及手术间周转的影响。方法 （1）序贯法收集转入500例患者的手术时间、复苏时间、入室状态、出室Steward评分；（2）按年龄、手术时间分组，分析对原有手术间利用率的影响。结果 （1）所有500例进入PACU患者无1例严重并发症，除2例患者因原发病严重外，其余出室Steward评分均大于4分；（2）童年组患者复苏时间最短（46.35±25.49）min，所有患者均能提高原有手术间的利用率，其中童年组提升30.48%高于青年组24.12%、中年组25.19%和老年组23.96%（P 0.05）；手术时间大于180min患者复苏时间（68.98±28.82）min明显高于其余各组（P0.05），手术时间与原有手术间利用率呈负相关（r=-0.56 P 0.01）。结论 配置标准复苏团队的PACU能保证患者复苏安全性，加快手术室整体运行，提高手术间利用率，节约医疗成本。 【关键词】 麻醉后恢复室；手术间利用率；手术周转；复苏团队 The effet of PACU with standard recovery team on recovery safty and operation room availability of surgical patients LIU De-xing1, ZHU Zhao-qiong1, ZHANG Chao1, ZHANG Fan1，LU Kai-zhi2（1Department of Anesthesiology, Affiliated Hospital of Zunyi Medical College, Zunyi 563000 , 2Department of Anesthesiology，Southwest Hospital，Third Military Medical University，Chongqing 400038 ，China） 【Abstract】 Objective To explore the effect of PACU on postoperative recovery of patients and operation turnover. Methods (1) We recorded operation time, recovery time , entering-room anesthetic state and out-room steward score of 500 patients who were randomized into this study according to sequential method. (2) Patients above were divided into different groups according to age and operation time, analyzing effects on original theater availability. (3) Recorded medical personnel satisfaction investigation. Results (1) No any mortality or severe complications were found among patients under PACU management. Under different entering-room anesthetic state, all patients had a steward score above 4 except 2 seriously ill patients. (2) The recovery time of child group was the shortest, (46.35±25.49)min. All patients can raise the availability of theater, which was remarkably raised in child group to about 30.48%, higher than youth group24.12%, middle-aged group25.19% and old-age group23.96 % (p0.05). Recovery time of patients group in which operation tim