开展大隐静脉曲张剥脱术日间病房运营模式的可行性探讨

Feasibility of Stripping Surgery of Great Saphenous Vein Varicosity Performed in One-Day Stay Ward

目的探讨采用新型运行流程,开展大隐静脉曲张剥脱术日间病房运营模式的可行性和安全性。方法回顾性分析笔者所在医院2011年内行大隐静脉曲张剥脱术的282例患者的临床资料,根据运营方式不同将其分为日间手术组(n=90)和住院手术组(n=192)。对2组患者的临床特征以及医疗运行指标(包括术前等待时间、住院时间以及医疗费用)进行比较分析。结果 2组患者间的基本临床特征差异均无统计学意义(P>0.05);日间手术组患者的术前等待时间和住院时间较住院手术组短(P<0.05),而医疗费用较低(P<0.05)。结论新型的日间病房运营模式可缩短大隐静脉曲张患者的术前等待时间、住院时间以及医疗费用,同时能够保证其临床治疗的安全性,值得在临床中推广。

Objective To explore the feasibility and the security of one-day stay ward in stripping surgery of saphenous vein varicosity.Methods Two hundred and eighty two patients treated in our hospital in 2011 were enrolled in this study,according to the operation mode,these patients were divided into 2 groups,ninety patients in one-day stay ward group and one hundred and ninety two patients in in-patient group.Their clinical features and medical operation indexs（included preoperative waiting time,duration of hospital stay,and medical cost）were retrospectively analyzed.Results There was no statistical differences on clinical features between the two groups.But compared with in-patient group,the preoperative waiting time,duration of hospital stay,and medical cost were shorter or lower in one-day stay ward group（P0.05）.Conclusions The one-day stay ward operation mode can decrease preoperative waiting time,duration of hospital stay and medical cost significantly,and it also can ensure the safety of clinical treatment.So it＇s worthy in the clinical promotion.