全髋关节置换日间手术的现状及进展

Current status and progress of day surgery for total hip arthroplasty

全髋关节置换是治疗髋关节骨关节炎、股骨头坏死等髋部疾病的终末期疗法,国内目前仍大多采用传统手术模式,而国外相关日间手术模式研究显示,全髋关节置换日间手术相较于传统手术模式安全可行,不增加术后并发症及再入院率,且能够缩短患者住院时间,降低住院费用,进而加快病床周转,提高医疗资源利用率。该文对全髋关节置换日间手术的患者准入、围手术期管理、麻醉与手术技术、出院后康复与护理进行了综述,旨在为国内全髋关节置换日间手术的发展提供参考。

Total hip arthroplasty is an end-stage treatment for hip diseases such as hip osteoarthritis and osteonecrosis of the femoral head.Traditional surgery models are still mostly used in China,and related day surgery models abroad have shown that day surgery for total hip arthroplasty is as safe and feasible as traditional pattern without increase in complications and readmission.It can also shorten the length of hospitalization for patients,reduce hospitalization costs,thereby speeding up bed turnover and increasing the utilization of medical resources.This article reviews the patient admission,perioperative management,anesthesia and surgical techniques,post-discharge rehabilitation and nursing care of patients undergoing day surgery for total hip arthroplasty,and aims to provide a reference for the development of day surgery for total hip arthroplasty in China.