口腔颌面外科日间手术中国专家共识

Chinese expert consensus on oral and maxillofacial ambulatory surgery

日间手术是指患者入院、手术和出院在1个工作日内完成的手术,具有加快病床周转、提高医疗资源使用效率、减少院内感染、加速患者康复及降低医疗费用等优点,为部分中、小手术患者提供了一种新型医疗服务。由于同时涉及手术、麻醉及围术期管理等多个环节,日间手术的开展在我国仍处于起步阶段。口腔颌面外科日间手术仅在部分医疗机构初步开展,尚未普及,且缺乏统一的规范化流程。为促进我国口腔颌面外科日间手术的发展,中国日间手术合作联盟和中华口腔医学会口腔颌面外科专业委员会组织全国15所医疗机构相关领域专家,参考国外日间手术的发展经验并结合国情,讨论并制订了本专家共识,以期对我国口腔颌面外科日间手术的开展起到规范和指导作用。

Ambulatory surgery is defined as an operation/procedure where the patient is discharged on the same working day.Ambulatory surgical hospitalization significantly increases the turnover rate of hospital beds and the utilization ratio of medical resources,reduces the hospital acquired infection,accelerates patients’ recovery and lowers the hospitalization expenses.It has become a rising medical service for some patients who need only simple or less complicated surgical treatments.Since multiple parts including surgical operation,anesthesia and perioperative nursing are involved,ambulatory surgical hospitalization in China is still in a primary stage.Ambulatory oral and maxillofacial surgery only being carried out in some hospitals and has not been popularized so far,owing to lack of standardized processes consensus and guidelines.In order to promote the development and popularization of ambulatory oral and maxillofacial surgical hospitalization,experts from 15 medical institutions were assembled by the Chinese Ambulatory Surgery Alliance and Chinese Society of Oral and Maxillofacial Surgery to discuss and formulate this consensus,referring to successful experiences in foreign countries and based on our national situation.With a view to the adoption of this consensus,we are hoping to provide a theoretical and practical guidance and reference for ambulatory oral and maxillofacial surgical hospitalization in China.