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在泰国一家三级医院的立即和延迟的顺序双边白内障手术之间的手术室利用时间的比较
Cong Ngoc Nguyen1,2,3, Thanapong Somkijrungroj2,4, Pear Ferreira Pongsachareonnont4,5
1Clinical Sciences (International Program), Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Clinical ophthalmology (Auckland, N.Z.)
|December 26, 2025
概括
立即连续双侧白内障手术 (ISBCS) 与延迟连续双侧白内障手术 (DSBCS) 相比,每位患者的手术室 (OR) 使用时间大约减少6分钟. 这种效率提升提高了外科手术能力.
科学领域:
- 眼科医生 眼科 眼科
- 医疗保健服务研究 医疗服务研究
背景情况:
- 白内障手术在全球范围内是一种常见的手术.
- 优化手术室 (OR) 的利用对于医疗保健效率至关重要.
- 连续的双边白内障手术可以立即进行或延迟.
研究的目的:
- 为了比较手术室 (OR) 使用时间,即时连续双边白内障手术 (ISBCS) 和延迟连续双边白内障手术 (DSBCS) 之间.
- 评估手术时间对OROROROROROROROROROROROROROROROROROROROROROROROROROROROROROROROROROROROROROROROROROROROROROROROROROROROROROROROROROROROROROROROROROROROROROROROROROROROROROROROROROROROROROROROROROROROROROROROR
主要方法:
- 泰国Chulalongkorn国王纪念医院的前性观察研究.
- 90名患者 (45名ISBCS,45名DSBCS) 在排除后进行分析.
- 治疗权重的反向概率 (IPTW) 和加权线性回归用于比较OR时间.
主要成果:
- ISBCS的平均OR时间为55.8分钟,而DSBCS的平均时间为60.0分钟.
- 在IPTW调整后,ISBCS减少了总OR时间5.81分钟 (95% CI 0.87至10.76分钟).
- 时间节省归因于手术,退出和周转时间的缩短;外科医生的经验是关键因素.
结论:
- 立即连续双侧白内障手术 (ISBCS) 与延迟连续双侧白内障手术 (DSBCS) 相比,每位患者的OR总利用时间减少约6分钟 (10%).
- 这种效率的提高可以提高运营吞吐量,并可能增加进行白内障手术的能力.
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