四川大学华西医院日间手术术式与国家推荐术式的比较研究

A comparative study of day operation in West China Hospital of Sichuan University and the nationally recommended catalogue for day surgery

目的 分析四川大学华西医院日间手术开展现状,与《日间手术推荐目录(2022年版)》(以下简称“国家推荐术式”)进行对比,以期为日间手术术式更新提供参考。方法 选择2009年10月-2023年7月四川大学华西医院开展的日间手术术式。根据手术专科、操作类别、操作方式、手术分级等进行分类统计,并将四川大学华西医院开展术式与国家推荐术式进行比较。结果 四川大学华西医院开展术式576种,涉及15个专科;国家推荐术式662种,涉及11个专科。在国家推荐术式中,四川大学华西医院已开展233种术式,另有26种作为门诊手术开展。四川大学华西医院开展术式以二、三级手术为主,国家推荐术式以二级手术为主。结论日间手术高质量发展不应局限于术式的补充,需在保证医疗质量安全的前提下,努力提高微创及四级手术占比,提升日间手术整体医疗水平。

Objective To analyze the current status of day surgery in West China Hospital of Sichuan University and compare it with the Recommended Catalogue of Day Surgery(2022 Edition),in order to provide reference for the update and expansion of day surgery procedures in hospitals.Methods The day surgical procedures carried out in West China Hospital of Sichuan University from October 2009 to July 2023 were collected.The day surgical procedures were classified based on surgical specialties,types of procedures,methods of operation,and surgical grading,etc.The day surgical procedures in West China Hospital of Sichuan University were compared with those in the Recommended Catalogue of Day Surgery(2022 Edition).Results A total of 576 types of daytime surgeries were carried out in West China Hospital of Sichuan University,involving 15 specialties.A total of 662 types of day surgeries were recommend in the nationally recommended catalogue for daytime surgery,involving 11 specialties.Among the nationally recommended surgical procedures,West China Hospital of Sichuan University had carried out 233 types of surgical procedures,and 26 additional types of surgical procedures were carried out as outpatient surgeries.According to the classification of surgical difficulty,the LevelⅡandⅢsurgeries were mainly carried out in West China Hospital of Sichuan University,and the LevelⅡsurgeries were mainly recommend in the nationally recommended catalogue for day surgery.Conclusions The high-quality development of day surgery in China should not be limited to the supplement of surgical procedures.It is necessary to strive to increase the proportion of minimally invasive and fourth-level surgeries while ensuring medical quality and safety,and improve the overall medical level of day surgery.