摘要
目的探讨日间手术患者出院后并发症的发生与安全性。方法建立规范的日间手术随访档案，选取2015年1月一2015年12月中南大学湘雅医院日间手术中心出院患者，进行随访，获取并分析日间手术出院后主要并发症和异常反应。结果共实施日间手术3380例（不含前列腺穿刺和胃肠镜下治疗等操作）。其中，男性1642例，女性1738例；年龄2～82岁，平均39．3岁；全身麻醉2153例（63．7％），局部麻醉1227例（36．3％）。随访发现并发症75例（2．2％），72h内急诊6例（0．2％），30d内再住院14例（0．4％），无非计划性再手术患者和死亡患者。出院后主要并发症为手术部位感染、剧烈疼痛、出血和恶心、呕吐，分别为10％（33／3380）、0．9％（30／3380）、0．4％（12／3380）和0．5％（11／2153）。结论日间手术患者出院后严重并发症发生少，建立规范的出院后随访和健康教育制度可以及早发现术后并发症并及时处理，日间手术是一种安全、可行的择期手术模式。
Objective To investigate the incidence and safety of postoperative complications following day surgery. Methods By establishing standardized day surgery follow-up system, the main postoperative complica- tions and anomies following day surgery were analyzed from l to 3 or more times follow-up in the Day Surgery Center of Xiangya Hospital of Central South University between January and December 2015. Results A total of 3,380 cases received day surgery （excluding prostate biopsy and gastrointestinal endoscopic treat- ment）. There were 1,642 males and 1,738 females, their mean age was 39.3 years （2-82 years）. Among them 2,153 （63.7%） accepted general anesthesia, and 1,227 （36.3%） had local anesthesia. The postoperative compli- cations following day surgery were found in 75 （2.2%） cases, with 6 （0.2%） cases needing unplanned acute care facility within 72 hours and 14 （0.4%） cases having unplanned re-admission to the hospital within 30 days. There was no unplanned return to the operating room or death within 30 days. The main post-discharge complications were surgical site infections, severe pain, bleeding, nausea and vomiting, with 33 cases （1.0%, 33/3,380）, 30 cases （0.9%, 30/3,380）, 12 cases （0.4%, 12/3,380） and 11 cases （0.5%, 11/2,153）, respectively. Conclusions Day surgery is a safe and feasible selective operation mode with low incidence of severe post- operative complications. Establishment of standardized follow-up files and health education system will benefit early finding of post-discharge complications and timely treatment.
出处
《中国现代医学杂志》
CAS
北大核心
2016年第17期90-93,共4页
China Journal of Modern Medicine
基金
湖南省科技厅重点研发计划(No:2015GK3002)
关键词
日间手术
并发症
随访
术后恶心呕吐
疼痛
day surgery
complication
follow-up
post-discharge nausea and vomiting
pain
