甲状腺日间手术围术期管理  

Perioperative management of thyroid ambulatory surgery

作　　者：彭楚楚 王喜梅[1] 程智刚[1] 王云姣[1] 李静怡[1] 陈江辉[1] 郭曲练[1] Peng Chuchu;Wang Ximei;Cheng Zhigang;Wang Yunjiao;Li Jingyi;Chen Jiartghui;Guo Qulian(Department of Anesthesiology, Xiartgya Hospital, Central South University, Changsha 410008, China)

机构地区：[1]中南大学湘雅医院麻醉科,长沙410008

出　　处：《中国医师杂志》2018年第4期487-489,共3页Journal of Chinese Physician

摘　　要：我国甲状腺癌和甲状腺结节发病率呈上升趋势,外科手术是甲状腺结节和甲状腺癌的主要治疗手段。甲状腺手术是否适合日间手术模式一直饱受争论。完善的术前检查、术前麻醉评估、严格筛选患者,选择微创手术方式和合适的麻醉方式、良好的术后镇痛和防治术后恶心呕吐,及时发现和处理术后并发症,建立术后随访机制,可以保障甲状腺日间手术患者安全,取得与住院手术相同的医疗质量。严格控制适应证后,甲状腺日间手术具有安全高效、方便快捷的特点,能明显降低住院时间和住院费用,是一种合理手术管理方式。目前患者的入选和排除标准,麻醉技术和围术期路径管理仍需要进一步研究。The incidence rate of thyroid cancer and thyroid nodule in China are rising and surgical operation is the main treatment for thyroid nodule and thyroid carcinoma. It has been controversial whether thyroid surgery is suitable for day surgery. Perfect preoperative examination and anesthesia assessment, se- lection of an appropriate of patients and minimally invasive surgery , good postoperative analgesia and the prevention and treatment of postoperative nausea and vomiting, recognition and treatment of postoperative complications timely, postoperative follow-up, can ensure safety of patient with thyroid ambulatory surgery, and made the same medical quality as the surgery in hospital. Under certain criteria, thyroid ambulatory sur- gery is safety , high efficient, economy and time-efficient. It is a reasonable surgical management mode which can reduce days of hospitalization and hospitalization cost. But it still need further study on the inclusion and exclusion criteria of patients, anesthesia techniques and perioperative management.

关 键 词：甲状腺疾病/外科学 日间手术 麻醉 围手术期医护 

分 类 号：R736.1[医药卫生—肿瘤]