儿外科日间手术临床应用分析

Clinical Application and Analysis of Pediatric Day Surgery

目的研究分析小儿外科日间手术模式的可行性及实施效果。方法回顾性分析2012年6月-2013年6月148例行小儿外科日间手术患儿资料,其中隐睾症31例,隐匿阴茎53例,疝气(单侧)64例。日间手术中心收治患儿为日间组,均纳入临床路径管理,在围手术期融入快速康复外科理念;同期小儿外科病房收治患儿为常规组对照。记录两组患儿的术后并发症、住院时间及住院费用并进行统计分析。结果同病种的日间组与常规组的手术成功率、再入院率、术后发热、恶心呕吐发生率比较,差异均无统计学意义(P>0.05);同病种日间组的平均住院费、药费、治疗费及平均住院时间均较常规组低(或短),差异均有统计学意义(P<0.05)。结论小儿外科日间手术模式在安全可行的前提下减少了人均住院时间、人均住院费用,提高了床位周转率,减轻了患儿家庭经济负担。

Objective To assess the efficacy and safety of pediatric day surgery （PDS） program. Methods We retrospectively analyzed 148 pediatric surgeries between June 2012 and June 2013, including 31 for cryptorchidism, 53 for concealed penis, and 64 for hernia. According to the operation mode, these children were divided into PDS group and in-patient group. Analysis of the postoperative complications and hospital stay, and hospitalization expenses was carried out. Results There was no statistical differences on success rate of operation, re-admission rate, postoperative fever, and postoperation nausea and vomiting between the two groups （P ~ 0.05）. But compared with the in-patient group, hospitalization expenses, medical cost, therapeutic treatment fee and hospital stay were significantly lower or shorter in the PDS group （P ~ 0.05）. Conclusion PDS is a safe and cost-effective program that reduces the average hospitalization days, reduces the per capita hospitalization cost, increases the turnover of beds, and benefits the child and the family.