摘要
目的 分析在非体外循环冠状动脉搭桥术患者中开展精细化手术室护理的临床应用效果。方法 随机选取2023年9月至2025年9月期间在我院接受非体外循环冠状动脉搭桥术患者80例作为研究对象，分组采取随机数字表法，共分为40例观察组与40例对照组，对照组给予常规护理，观察组开展精细化手术室护理，将两种护理模式取得的效果进行对比分析。结果 护理后，观察组手术室护理管理质量以及患者的护理治疗依从性与对照组相比明显提升，患者的焦虑程度明显轻于对照组，住院时间少于对照组，术中应激反应以及术后并发症发生率均低于对照组，最终患者的生活质量与对照组相比明显提高（P＜0.05）。结论 在非体外循环冠状动脉搭桥术患者中采取精细化手术室护理干预，能够有效提高手术室护理管理质量，增强患者的身心舒适度以及配合度，提高手术效率及安全性，减少术后并发症发生，促进患者术后身体恢复，提高患者生活质量。
关键词： 非体外循环冠状动脉搭桥术；精细化手术室护理；效果分析
Abstract
Objective To analyze the clinical application effects of refined operating room nursing in patients undergoing off-pump coronary artery bypass grafting (OPCAB). Methods A total of 80 patients who underwent OPCAB at our hospital from September 2023 to September 2025 were randomly selected as the study subjects. They were divided into an observation group (40 cases) and a control group (40 cases) using a random number table method. The control group received conventional nursing, while the observation group received refined operating room nursing. The outcomes of the two nursing approaches were compared and analyzed. Results After nursing, the observation group showed significantly improved operating room nursing management quality and patient compliance compared to the control group. The anxiety levels of patients in the observation group were notably lower, and their hospital stays were shorter. Intraoperative stress responses and postoperative complication rates were also lower in the observation group than in the control group. Ultimately, the quality of life of patients in the observation group was significantly higher than that of the control group (P < 0.05). Conclusion Implementing refined operating room nursing in patients undergoing OPCAB can effectively enhance nursing management quality, improve physical and psychological comfort and patient compliance, increase surgical efficiency and safety, reduce postoperative complications, promote postoperative recovery, and ultimately improve patients' quality of life.
Key words： Off-pump coronary artery bypass grafting; Refined operating room nursing; Effect analysis
参考文献 References
[1] 李占香,相飞飞,郭洋.精细化手术室护理在非体外循环冠状动脉搭桥术中的应用[J].临床护理研究,2024,33(3): 97-99.
[2] 高小凤,鹿秀娟,蒋丹,等.精细化手术室护理在非体外循环冠状动脉搭桥术患者中的应用效果[J].护理实践与研究,2022,19(1):129-132.
[3] 冷炜.精细化手术室护理在非体外循环冠状动脉搭桥术患者中的应用效果[J].现代护理医学杂志,2023,2(3):22-23.
[4] 王宝娣,张盼.精细化手术室护理在非体外循环冠状动脉搭桥术患者中的应用效果[J].现代护理医学杂志,2022, 1(3):10-13.
[5] 李双,宋秋英,于美宁.精细化手术室护理在非体外循环冠状动脉搭桥术患者中的应用效果[J].科学养生,2022, 25(12): 145-147.
[6] 姜泓羽.手术室护理在冠状动脉搭桥术中的应用[J].养生保健指南,2023,22(18):7-9.
[7] 杨素平.精细化手术室护理在心脏手术中的应用效果[J].实用临床护理学杂志,2021,6(34):51-53..
[8] 官莉贞,洪素千.手术室护理路径对心脏外科手术患者的影响[J].中外医学研究,2023,21(1):88-91.
[9] 郑洋梅.心脏外科手术患者手术室护理配合效果观察[J].科技与健康,2023,2(24):99-101.