上午或下午手术与围手术期不良事件的研究进展

Research progress on adverse events during morning or afternoon surgery and perioperative period

围手术期不良事件(PAE)的发生显著影响患者术后恢复。近年来,越来越多的研究发现手术开始时间与PAE的发生密切相关,特别是在住院时间与费用、术中与术后相关并发症、术后病死率等方面差异显著。本综述拟总结不同类型手术在上午或下午开始对PAE的影响,并分别从昼夜节律、人为因素、基础设施等阐述上午或下午手术影响PAE发生的可能机制,以期为降低患者PAE、加速患者康复提供参考。

The occurrence of perioperative adverse events(PAEs)significantly affects postoperative recovery of patients.In recent years,more and more studies have found that the start time of surgery is closely related to the occurrence of PAE,especially in terms of hospital stay and cost,intraoperative and postoperative complications,and postoperative mortality.This review aims to summarize the impact of different types of surgeries on PAE starting in the morning or afternoon,and to elucidate the possible mechanisms by which morning or afternoon surgeries affect PAE occurrence from the perspectives of circadian rhythms,human factors,and infrastructure,in order to provide reference for reducing patient PAE and accelerating patient recovery.