目的:建立手术医生习惯档案,及时改进手术室护理工作,从而提高手术室的服务品质.方法:由各专科组成员通过手术配合过程的观察,综合多次同种手术配合,以及各专科组成员间的交流,总结本专科每位手术医生的特殊用物和个人习惯.各专科组于每周二随机对本专科10位手术医生进行满意度调查,反馈手术医生的最新要求和期望,及时补充更新手术医生习惯档案.结果:建立手术医生习惯档案,医生满意度显著提高.结论:建立手术医生习惯档案,为手术医生提供个性化服务,充分体现了手术室护士崇高的道德风范,精益求精的职业品格.及时改进手术室护理工作,提高了手术医生的满意度和手术室护士的工作效率,减轻了手术室护士的工作和心理压力.构建了手术室高素质、高效率、高质量的服务品质.

目的 研究新型充盈式驱血球在大隐静脉高位结扎+抽剥术中的应用.方法 将158例(221条)静脉曲张肢体分为应用新型充盈式驱血球(驱血球组,n=112)及不用充盈式驱血球(常规组,n=109)两组,前者于肢体驱血后将新型充盈式驱血球固定于大腿上部后再行手术,常规组则不采用任何驱血球.两组均采用大隐静脉高位结扎、大隐静脉主干抽剥+曲张静脉点状抽剥结扎术.记录并比较两组的手术时间、术中出血量、术后肢体肿胀情况、皮下血肿发生情况、肢体活动和皮肤感觉障碍情况.结果 驱血球组手术时间[(35±10)min]较常规组[(56±19)min]明显缩短(P＜0.05),术中出血量[(30±4)ml]较常规组[(247±33)ml]明显减少(P＜0.05),两组皮下血肿发生情况、术后肢体肿胀情况、肢体活动和皮肤感觉障碍情况的差异均无统计学意义(均P＞0.05).结论 新型驱血球在下肢浅静脉手术中的使用,可显著缩短手术时间和减少术中出血量,且未见相关并发症.下肢浅静脉手术中应用新型充盈式驱血球是一种值得推广的简便、实用的方法.

Objective To explore the effect of surgical nursing cooperation for PFNA in the treatment of elderly pa-tients with femoral intertrochanteric fracture. Methods 68 elderly patients with intertrochanteric fracture were randomly divid-ed into observation group and control group with 34 cases in each group. All the patients were treated with PFNA internal fixa-tion,and the observation group were treated with meticulous operation nursing,and the control group were treated with routine operation nursing. The operation time,intraoperative blood loss,incidence of adverse events and satisfaction of operation doctor and patient in operation room in the two groups were observed and compared. Results The average operation time of observa-tion group was shorter than the control group,the mean blood loss of observation group was less than that of the control group, the differences were statistically significant(P ﹤ 0. 05). The total incidence rate of intraoperative device failure,surgical instru-ments transfer failure,infection and other adverse events in observation group(5. 88% )was lower than that in control group (20. 59% ),the difference was statistically significant(P ﹤ 0. 05). In the observation group,the satisfaction degree of the oper-ation doctor and the patient to the operation room nurses was 100. 00% ,94. 12% ,and the control group was 81. 82% , 79. 41% ,the difference was statistically significant(P ﹤ 0. 05). Conclusion In femoral coarse intertrochanteric fracture PF-NA internal fixation for the treatment of implementation of meticulous surgical nursing can effectively improve the effect of sur-gical treatment,shorten the operation time,reduce intraoperative blood loss,reduce the adverse event incidence and better pro-mote the smooth operation.