组织工程与重建外科杂志

组织工程与重建外科杂志 ›› 2019, Vol. 15 ›› Issue (5): 352-355.doi: 10.3969/j.issn.1673-0364.2019.05.011

• 论著 • 上一篇    下一篇

节点管理降低正颌手术中口内正畸物品遗失率的效果评价

应元婕，杨旭，张勇，袁灏，杨悦来，张诗雷   

  1. 上海交通大学医学院附属第九人民医院手术室；上海交通大学医学院附属第九人民医院口腔颅颌面外科
  • 收稿日期:2019-06-30 修回日期:2019-08-12 出版日期:2019-10-20 发布日期:2019-10-20
  • 作者简介:杨悦来(E-mail:yangyuelai@163.com);张诗雷(Email:leinnymd@hotmail.com)。

Evaluation of Node Management in Reducing the Loss Rate of Orthodontic Articles in Orthognathic Surgery

YING Yuanjie,YANG Xu,ZHANG Yong,YUAN Hao,YANG Yuelai,ZHANG Shilei   

  1. Operating Room, Shanghai Ninth People’s Hospital, Shanghai Jiaotong University School of Medicine; Department of Oral and Maxillofacial Surgery, Shanghai Ninth People’s Hospital, Shanghai Jiaotong University School of Medicine
  • Received:2019-06-30 Revised:2019-08-12 Online:2019-10-20 Published:2019-10-20
  • Contact: 上海交通大学医学院附属第九人民医院护理课题基金(JYHL20182106)；上海交通大学医学院附属第九人民医院交叉学科基金项目(201818040)；上海交通大学医学院附属第九人民医院科技创新基金(CK2018003)；转化医学协同创新中心合作研究项目(TM201717)；国家自然科学基金面上项目(81671035)；上海市科学技术委员会西医引导项目(15411967400)

摘要： 目的探讨正颌术中口内正畸物品遗失的主要原因,并探究应用节点管理对降低正畸物品遗失率的效果。方法成立研究团队,分析术中正畸物品的遗失原因,探讨可能发生正畸物品遗失的术中环节,并制定控制措施。选取2018年6月至2019年1月的正颌手术患者763例,口内均佩戴有正畸物品。以2018年6月至9月的372例为对照组,采用传统清点流程;2018年10月至2019年1月的391例为实验组,采用节点管理;比较两组的正畸物品遗失率。结果应用节点管理后,实验组正畸物品遗失率明显降低,无效麻醉及手术时间缩短,差异均有统计学意义(P<0.05)。结论应用节点管理可有效降低正颌术中口内正畸物品的遗失率,保证正颌手术的顺利进行,对保障患者安全具有积极意义。

关键词: 节点管理, 正颌手术, 正畸物品, 遗失率

Abstract: Objective To in vestigate the main causes for the loss of orthodontic items in orthognathic surgery, and to explore the effect of node management in reducing the loss rate of orthodontic articles. Methods A research team was set up to analyze the causes of the loss of orthodontic items during operation, and to explore the possible surgical procedures so as to develop control measures. From June 2018 to January 2019, 763 patients undergoing orthognathic surgery were selected,all of whom were wearing orthodontic items in their mouths. Among them, 372 cases undergoing orthognathic surgery from June to September 2018 were set as the control group, which adopted the traditional counting process. Three hundred and ninety-one patients undergoing orthognathic surgery from October to January 2019 were set as experimental group and node management was adopted. The loss rate of orthodontic items and work efficiency before and after intervention were compared.Results After the application of node management, the loss rate of orthodontic items in the orthognathic surgery were significantly reduced, and the ineffective anesthesia and operation time were shortened. The differences were all statistically significant(P<0.05). Conclusion The application of node management can effectively reduce the loss rate of orthodontic items in orthognathic surgery, promote the smooth operation of orthognathic surgery, and ensure the safety of patients.

Key words: Node management, Orthognathic surgery, Orthodontic items, Loss rate

中图分类号: