摘要
目的探讨快速反应团队在产科危急重症手术护理中的临床效果。方法选取赣州市人民医院2018年1月~2019年6月收治的156例需紧急剖宫产手术的孕妇作为研究对象,按照时间先后顺序分为对照组(2018年1~9月收治的82例)与实验组(2018年10月~2019年6月收治的74例)。对照组按紧急剖宫产护理常规进行手术护理配合,实验组在此基础上成立以麻醉科为首的快速反应团队,对紧急剖宫产手术进行全方位的医疗、护理配合。比较两组的相关时间、新生儿1 min Apgar评分和脐带动脉血pH值。结果实验组孕妇到达手术室的时间、手术室护理准备时间、麻醉完成时间、新生儿科医生到达时间、手术切皮到胎儿娩出时间、决定手术至胎儿娩出的时间(DDI)均短于对照组,1 min Apgar评分、脐带动脉血pH值高于对照组,差异有统计学意义(P<0.05)。结论成立产科快速反应团队进行急救模拟培训,优化急救配合流程,能够有效缩短产科危急重症手术DDI,提高抢救成功率,保障患者手术安全,有效改善新生儿的预后。
Objective To explore the clinical effect of rapid response team in obstetric critical operation nursing.Methods A total of 156 cases of pregnant women who need emergency cesarean section in Ganzhou People′s Hospital from January 2018 to June 2019 were selected as the research object,according to the time sequence,they were divided into the control group(82 cases from January to September 2018)and the experimental group(74 cases from October 2018 to June 2019).The control group was given operation nursing cooperation according to the routine nursing care of emergency cesarean section,on this basis,the experimental group established a rapid response team with anesthesia department as the first to provide comprehensive medical and nursing cooperation for emergency cesarean section.The related time,neonatal Apgar score and umbilical artery blood pH value were compared between the two groups.Results The time for pregnant women to arrive at operating room,nursing preparation time in operating room,anesthesia completion time,arrival time of neonatal pediatrician,time from skin incision to fetal delivery and decision to delivery interval(DDI)in the experimental group were shorter than those in the control group,and the Apgar score and umbilical artery blood pH value in the experimental group were higher than those of the control group,the differences were statistically significant(P<0.05).Conclusion The establishment of obstetric rapid response team for emergency simulation training and optimization of emergency cooperation process can effectively shorten the DDI of critical obstetric surgery,improve the success rate of rescue,ensure the safety of patients,and effectively improve the prognosis of newborns.
作者
蔡云霞
CAI Yun-xia(Operating Room,Ganzhou People′s Hospital,Jiangxi Province,Ganzhou341000,China)
出处
《中国当代医药》
2020年第36期205-207,共3页
China Modern Medicine
基金
江西省赣州市指导性科技计划(GZ2018ZSF252)。
