自动与手写麻醉记录的对比:麻醉时间对记录的影响

该研究旨在探讨麻醉时间分别对自动和手写麻醉记录的影响.对58例小儿外科全麻手术病人同时进行自动和手写麻醉记录,用3个秒表分别记录病人总的麻醉时间(T)、自动记录占用的时间(A)、手写记录占用的时间(H)以及记录单上记录的生理数据和事件数据的个数.共54例数据可用,分为两组:T＞1h(n=29),T≤1h(n=25).两组中自动记录占用时间及其占总麻醉时间的百分比都比手写记录少(P<0.001);T＞1h组中,自动记录记录了更多的生理数据(P<0.001),事件数据无统计学差异(P＝0.407),但有临床意义(8±3个和7±3个);T≤1h组中,自动记录记录了更多的事件(P＝0.015),生理数据无统计学差异(P＝0.374),但有临床意义(21±11个和20±10个).由此可见自动记录适合各种时间的麻醉,尤其是长时间麻醉的管理,为麻醉医师提供了更好的提高麻醉管理质量的平台.

Comparison between Automatic and Handwritten Anesthetic Records: Influence of Total Duration of Anesthesia

The records of 58 children's general anesthesia children (ASA I) were investigated. The handwritten records and the automatic anesthetic records were applied simultaneously to collect data from each patient. The total duration of anesthesia (T), the time for handwritten record (H), and the time for automatic record (A) were recorded by 3 timers respectively. Fifty-four records were available and were divided into two groups: group I, T > 1h (n = 29), group II: T < 1h (n = 25). Automatic record saved time (P < 0.001) in both groups. Furthermore, in group I, automatic record kept more vital sign notes (P < 0.001), but had no more event notes (P = 0.407); In group II, automatic record kept more event notes (P = 0.015), but had no more vital signs notes (P = 0.374). In general, automatic anesthetic record is suitable for all kinds of duration of anesthesia. When the time extends, it can provide a better platform for the anesthesiologist to improve the quality of management.