【摘要】 目的研究手术室风险管理对冠状动脉搭桥术(CABG)患者围术期不良事件与术后感染的影响。方法选取2015年6月至2018年6月于我院行CABG治疗的患者94例作为研究对象,随机将其等分为观察组和对照组,对照组实施围术期和手术室常规护理,观察组在此基础上采用手术室风险管理,比较两组患者围术期指标、围术期不良事件与术后感染发生率。结果两组患者均顺利完成手术,观察组手术时间及住院时间短于对照组,术中出血量少于对照组,围术期不良事件发生率低于对照组,术后感染发生率低于对照组,比较差异均有统计学意义(P<0.05)。结论对CABG患者进行手术室风险管理可明显缩短手术与住院时间,减少术中出血量,降低其围术期不良事件和术后感染发生率,有利于手术顺利完成,促进患者术后康复。更多还原

【Abstract】 Objective To study the effect of operating room risk management on perioperative adverse events and postoperative infection in patients undergoing coronary artery bypass grafting(CABG). Methods To select 94 cases of patients who underwent CABG treatment in our hospital from June 2015 to June 2018 as the study subjects. They were randomly divided into observation group and control group with the same number of cases. The control group was given perioperative and operating room routine nursing, while on the basis of this, the observation group was treated with operating room risk management. The perioperative index, perioperative adverse events, and the incidence of postoperative infection of patients between the two groups were compared. Results Both of the two groups of patients had completed the operations successfully. The operation time and hospitalization time of the observation group were shorter than those of the control group. The intraoperative blood loss was less than that of the control group. The incidence of perioperative adverse events was lower than that of the control group.The incidence of postoperative infection was lower than that of the control group. There was statistical significance of the comparative differences among those indexes(P<0.05). Conclusion Applying management of operating room risk in CABG patients can shorten the time of surgery and hospitalization significantly, and reduce the amount of intraoperative blood loss. Meanwhile, it can reduce the perioperative adverse events and the incidence of postoperative infection, which is conducive to the successful completion of operation. Consequently, such kind of method can promote rehabilitation of patients after the operation.更多还原