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find Author "向吕娜" 3 results
  • 腹腔镜胆囊切除术日间模式应用效果调查及分析

    目的 调查分析日间腹腔镜胆囊切除术(LC/DS)与住院腹腔镜胆囊切除术(LC)患者的满意度情况,为推广LC/DS提供参考依据。 方法 对2012年1月-9月收治的210例行LC/DS和LC的患者,采取问卷调查形式进行满意度调查,并就两组患者的平均住院日、术前等待时间及患者的医疗费用等进行对比分析,从而评价LC/DS的优势与不足。 结果 LC/DS组在平均住院日、总治疗费用、术前等待时间等方面具有明显的优势,与LC组相比差异有统计学意义(P<0.05);但LC/DS组健康教育满意度(89.0%)较LC组的满意度(98.2%)低。 结论 LC/DS能显著缩短患者的平均住院日,减少术前等待时间,提高医院床位周转率,降低患者医疗费用,节约医疗资源,是一种安全、可行的手术治疗方式。推广LC/DS可在一定程度缓解患者“看病难、看病贵”的问题。

    Release date:2016-09-07 02:34 Export PDF Favorites Scan
  • 三种镇痛方法用于腹腔镜术后镇痛的疗效观察

    目的观察地佐辛、曲马多、哌替啶3种镇痛方法在腹腔镜术后的镇痛效果。 方法选择2012年4月-7月择期行腹腔镜手术患者120例,美国麻醉医师协会分级Ⅰ~Ⅱ级,随机分为地佐辛组(A组)、曲马多组(B组)及哌替啶组(C组),每组40例。术后患者第1次诉疼痛时,A组肌肉注射地佐辛5 mg,B组肌肉注射曲马多100 mg,C组肌肉注射哌替啶50 mg。 结果3组均有一定的镇痛效果,其中A组和C组患者在术后2 h及4 h的镇痛效果均优于B组,差异有统计学意义(P<0.05)。A组恶心、呕吐发生率低于B组,差异有统计学意义(P<0.05)。 结论3种镇痛方法都是腹腔镜术后较为有效的镇痛技术,其中地佐辛镇痛效果更好、安全性高,因而具有更高的临床推广价值。

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  • Research on the application effect of information construction of the hospital admission service center based on improving patients’ medical experience

    Objective To construct an information hospital service system and discuss the application effect of information construction in the hospital service center. Methods Patients admitted to West China Hospital of Sichuan University between June 2022 and January 2023 were selected. We innovatively practiced intelligent safety gate, self-appointment admission registration, pre-hospital examination and advance migration, pre-hospital health education, an age-appropriate transformation of information service, and other information service measures to investigate the medical experience of patients, and compared patients’ satisfaction with medical treatment under four admission management methods (Huayitong APP, WeChat, self-service machine, and manual management). Results A total of 1452 patients were surveyed. The overall satisfaction score for medical treatment of patients was (4.98±0.04) points. Among them, Huayitong APP was (4.99±0.03) points, WeChat was (4.98±0.13) points, self-service machine was (4.97±0.05) points, and manual treatment was (4.92±0.11) points. There was a statistically significant difference between groups in overall satisfaction with different admission procedures (F=68.582, P<0.001). Since the information construction of the hospital admission service center was carried out, the average time of admission was (12.4±2.3) minutes, and 89.4% (1 298/1 452) of patients thought the time of admission was ideal. Conclusions The information construction of a hospital admission service center can effectively improve patients’ medical experience and enhance patient satisfaction. In the future, it is necessary to explore the influencing factors of patients’ satisfaction with information construction, and constantly improve and upgrade the information construction of hospital admission service centers.

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