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目的探讨麻醉后恢复室(postanesthesia care unit,PACU)团队化配置标准,评价团队化的PACU对术后患者复苏及手术间周转的影响。方法据我院总手术床位按3∶1配置PACU床位,并配备相应医师及护士;序贯法收集转入我科PASU的500例患者的手术时间、复苏时间、入室状态、出室Steward评分;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 500例进入PACU患者无1例出现严重并发症,除2例患者因原发病严重外,其余出室Steward评分均>4分;儿童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,其中儿童组提升30.48%,高于青年组、中年组和老年组(24.12%、25.19%、23.96%,P<0.05);手术时间>180 min患者复苏时间[(68.98±28.82)min]明显高于其余各组(P<0.05),手术时间与原有手术间利用率呈负相关(r=-0.56,P<0.01)。结论我科标准的团队化PACU能有效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。
Objective To investigate the criteria for teaming deployment of postanesthesia care unit (PACU) and evaluate the effect of team PACU on postoperative recovery and intraoperative turnover. Methods According to the 3: 1 total bed space of our hospital, the PACU beds were equipped with the corresponding physicians and nurses. The sequential operation was performed to collect the operation time, recovery time, By age, operation time grouping, analysis of the impact of the utilization rate of the original operation. Results No serious complications were found in 500 patients admitted to PACU. Except for 2 patients, all the patients had severe preeclampsia, the remaining Steward scores were> 4 and those in children group were the lowest (46.35 ± 25.49) min. All patients (P0.05) .In the operation time> 180 min, the utilization rate of the patients in the operation group increased by 30.48%, which was higher than that of the youth group, the middle-aged group and the elderly group (24.12%, 25.19%, 23.96% The recovery time [(68.98 ± 28.82) min] was significantly higher than the other groups (P <0.05). The operative time was negatively correlated with the utilization rate of the original operation (r = -0.56, P <0.01). Conclusion Our standard PACU can effectively guarantee the safety of patients’ recovery, speed up the operation of the operating room, improve the utilization rate of the operating room and save the medical cost.