腹腔镜下结直肠癌根治术的时间效应分析.docVIP

腹腔镜下结直肠癌根治术的时间效应分析 　　摘要：目的 调查不同术者行腹腔镜下结直肠癌根治术对手术时间、手术室医护人员加班、麻醉科和手术室开支、麻醉药占比等的影响。方法 选择2015年1月～2016年8月在我院择期行腹腔镜下结肠或直肠癌根治术（Dixon）患者110例，根据主刀医生将患者分为三组。采用资料摘录表对符合入选标准和排除标准的病例进行资料摘录并纳入统计学分析。结果 三组患者手术时间为：组1：（220±40） min；组2：（253±57） min；组3：（251±64） min。组1和组2、组3比较差异有统计学意义（P0.05）。医护人员加班率、麻醉科和手术室开支、麻醉药占比等均有一定程度的增加（P0.05）。?Y论 相同职称级别的术者主刀行腹腔镜下结直肠癌根治术时，时间存在较大差异。手术时间越长，医护人员加班、手术室开支、麻醉药占比亦相应增加。 　　关键词： 腹腔镜，结直肠癌，根治术；时间 　　中图分类号：R735 文献标识码：A 文章编号：1006-1959（2017）16-0046-02 　　Time Effect Analysis of Laparoscopic Radical Resection for Colorectal Cancer 　　WU Zhi-guo1，YUAN Wan-qiu1，YE Qing-lin2，PENG Hong1 　　（Department of Anesthesiology1，Operation Room2，Pingxiang Peoples Hospital of Jiangxi Province，Pingxiang 337055，Jiangxi，China） 　　Abstract：Objective To investigate the effect of laparoscopic radical resection of colorectal cancer on the operation time，operation room，medical staff overtime，anesthesia and operation room expenses，anesthetic ratio.Methods In January 2015～August 2016 in our hospital for radical resection of colon or rectal cancer undergoing laparoscopic（Dixon）patients with 110 cases，according to the doctor in charge of the patients were divided into three groups.Data extraction table was used to extract the data which fit the inclusion criteria and exclusion criteria，and then included in the statistical analysis.Results The operation time of the three groups was：group 1：220±40 min；group 2：253±57 min；group 3：251±64 min.Group 1 and group 2，group 3 was statistically significant difference（P0.05）.The overtime rate of medical staff， the expenditure of anesthesia and operation room and the proportion of narcotic drugs increased to some extent（P0.05）.Conclusion There is a significant difference in the time of laparoscopic radical resection of colorectal cancer at the same title level.The longer the operation time，health care workers overtime，operating room expenses，the proportion of anesthesia also increased accordingly. 　　Key words：Laparoscopy；Colorectal cancer；Radical rese