目的: 探讨基于精益管理模式的麻醉护理在骨结核手术中的应用效果及对医疗费用的影响。方法: 选择2019年12月-2022年5月在吉林省结核病医院接受骨结核手术治疗的56例患者为研究对象,其中28例为对照组,施以常规麻醉护理,28例为观察组,施以基于精益管理模式的麻醉护理,分析对比两组麻醉苏醒质量、医疗费用、满意度。结果: 护理后,两组患者的自主呼吸时间差异无统计学意义（P>0.05）;在拔管时间、完全清醒时间、麻醉复苏室滞留时间这三方面,观察组低于对照组（P<0.05）,各项医疗费用均低于对照组（P<0.05）,满意度评分高于对照组（P<0.05）。结论: 基于精益管理模式的麻醉护理用于骨结核手术中,能提升麻醉苏醒质量,降低各项医疗费用,减轻患者家庭经济负担,获得较高的满意度。

Objective: The paper explores the application effect of anesthesia nursing based on lean management mode in patients with bone tuberculosis surgery and its impact on medical expenses. Methods: A total of 56 patients undergoing bone tuberculosis surgery from December 2019 to May 2022 were selected as subjects, and they were divided into two groups with 28 patients in each group. The control group was given routine anesthesia nursing, and the observation group was given anesthesia nursing based on lean management mode. The quality of anesthesia recovery, medical expenses and satisfaction of the two groups were compared. Results: After nursing, there was no significant difference in spontaneous breathing time between the two groups (P>0.05). Extubation time, fully awake time and stay time in anesthesia resuscitation room in the observation group were lower than those in control group (P<0.05). The medical expenses in the observation group were lower than those in the control group (P<0.05), and the satisfaction score in the observation group was higher than that in the control group (P<0.05). Conclusion: Anesthesia nursing based on lean management mode for patients undergoing bone tuberculosis surgery can improve the quality of anesthesia recovery, reduce various medical costs, reduce the economic burden of patients' families, and achieve higher satisfaction.