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中华胃肠内镜电子杂志 ›› 2025, Vol. 12 ›› Issue (04) : 284 -287. doi: 10.3877/cma.j.issn.2095-7157.2025.04.011

护理园地

一种ERCP专用器械台的设计及应用效果评价
赵书凝, 王盈盈(), 刘晓冰, 杜健, 鲍小倩, 杜康   
  1. 100853 北京,解放军总医院第一医学中心消化内科医学部
  • 收稿日期:2025-04-06 出版日期:2025-11-15
  • 通信作者: 王盈盈

The design and application effect evaluation of a specialized ERCP dedicated instrument table

Shuning Zhao, Yingying Wang(), Xiaobing Liu, Jian Du, Xiaoyu Qiu, Kang Du   

  1. Department of Gastroenterology, The first Medical Center of Chinese PLA General Hospital, Beijing 100853, China
  • Received:2025-04-06 Published:2025-11-15
  • Corresponding author: Yingying Wang
引用本文:

赵书凝, 王盈盈, 刘晓冰, 杜健, 鲍小倩, 杜康. 一种ERCP专用器械台的设计及应用效果评价[J/OL]. 中华胃肠内镜电子杂志, 2025, 12(04): 284-287.

Shuning Zhao, Yingying Wang, Xiaobing Liu, Jian Du, Xiaoyu Qiu, Kang Du. The design and application effect evaluation of a specialized ERCP dedicated instrument table[J/OL]. Chinese Journal of Gastrointestinal Endoscopy(Electronic Edition), 2025, 12(04): 284-287.

目的

设计一种经内镜逆行胰胆管造影术(ERCP)专用器械台,探讨其在缩短手术准备时间、保证操作台面布局合理及提升手术配合效率中的应用价值。

方法

采用便利抽样法选取2024年3月至2024年7月经解放军总医院第一医学中心消化内科医学部消化内镜中心行ERCP胆管取石的100例患者为研究对象,依据随机数字法将其分为对照组和观察组,每组各50例。观察组在ERCP操作间2完成手术,对照组在ERCP操作间1完成手术。对照组术中使用传统手术器械台,观察组使用ERCP专用器械台。对比两组术前、术中、术后器械台面分区程度、术中器械散开次数、术后台面污染程度及医护满意度。

结果

观察组术前、术中、术后器械台面分区程度评分均高于对照组,差异均有统计学意义(P<0.05)。观察组各种手术器械散开次数明显低于对照组,差异具有统计学意义(P<0.05)。观察组术后台面污染程度评分高于对照组,差异有统计学意义(P<0.05)。观察组工作人员各个维度满意度评分均高于对照组,差异均有统计学意义(P<0.001)。

结论

ERCP专用器械台通过科学设计,可以使手术器械分区清晰,有效减少手术器械散开次数,保证了操作台面布局的合理性,进一步提高了工作效率,有效降低术后器械台的污染程度,提高了工作人员的满意度,具有显著的临床应用优势。

Objective

Design a specialized instrument table for ERCP, and explore its application value in shortening surgical preparation time, ensuring a rational layout of the operating table surface, and enhancing the efficiency of surgical coordination.

Methods

A convenience sampling method was employed to select 100 patients who underwent ERCP for bile duct stone removal at the Gastroenterology Endoscopy Center of our hospital from March 2024 to July 2024 as the study subjects.These patients were then randomly divided into a control group and an observation group using a random number method, with 50 patients in each group.The observation group underwent operative procedures in ERCP Operating Room 2, whereas the control group completed their surgeries in ERCP Operating Room 1.In the control group, a traditional dedicated instrument table was used during the procedure, whereas the observation group utilized a specialized ERCP instrument table. Comparison between the two groups regarding the degree of instrument table area segmentation preoperatively, Intraoperatively and postoperatively, the number of intraoperative instrument scattering incidents, the degree of postoperative tabletop contamination, and the satisfaction level of medical staff.

Results

The observation group demonstrated significantly higher scores for the degree of instrument table area segmentation (preoperatively, intraoperatively, and postoperatively) compared to the control group, with all differences being statistically significant(P<0.05). The observation group exhibited significantly fewer incidents of surgical instrument scattering compared to the control group, and this difference was statistically significant(P< 0.05). The observation group had a significantly higher score for postoperative tabletop contamination compared to the control group, with the difference being statistically significant(P<0.05). The satisfaction scores of the observation group staff in all dimensions were higher than those of the control group, with statistically significant differences.

Conclusion

Through scientific design, the dedicated ERCP instrument table enables clear segmentation of surgical instruments, effectively reduces the frequency of instrument scattering, ensures the rationality of the operating table layout, further improves work efficiency, significantly reduces the level of postoperative tabletop contamination, and enhances staff satisfaction, demonstrating remarkable clinical application advantages.

图1 ERCP器械台结构图注:1:桌台;2:夹子;3:"丁"字形支架;4:墙体框架;5:栏杆;6:胆汁回收桶及胆汁纱布回收桶;7:附件袋存放框;8:万向轮
图2 ERCP器械台实物图
表1 台面整洁程度评分表
表2 术前、术中、术后两组器械台面分区程度比较(分,±s)
表3 两组台面手术器械散开例次对比[例(%)]
表4 医护人员对两组手术器械台满意度评分比较(分,±s)
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