普外科日间手术模式的应用效果分析  

Analysis of the application of the day surgical mode in general surgery

作　　者：王琦[1] 夏晓丹[2] 平恩杰 杨怀成[1] 李旺勇 Wang Qi;Xia Xiaodan;Ping Enjie;Yang Huaicheng;Li Wangyong(Department of General Surgery, the First People's Hospital of Huainan, Huainan, Anhui 232007, China;Day Surgery Center, the First Peoples Hospital of Huainan,Huainan,Anhui 232007 , China)

机构地区：[1]淮南市第一人民医院普外三科,安徽省232007 [2]淮南市第一人民医院日间手术中心,安徽省232007

出　　处：《中国基层医药》2019年第17期2101-2104,共4页Chinese Journal of Primary Medicine and Pharmacy

基　　金：安徽省淮南市科技计划项目(2015A2411).

摘　　要：目的探讨开展普外科常见日间手术临床应用的可行性.方法回顾性分析淮南市第一人民医院日间中心2018年1-12月收治的胆囊结石40例(LC组)、乳腺肿块40例(乳腺肿块组)、混合痔36例(混合痔组)患者的临床资料,每组按照随机数字表法分为对照组(传统手术组)和研究组(日间手术组).比较对照组和研究组的住院天数、住院费用.结果 LC组、乳腺肿块组、混合痔组的研究组住院时间分别为(21.07±6.31)h、(45.60±7.39)h、(21.07±6.31)h,均显著短于对照组的(106.80±25.20)h、(184.50±25.00)h、(236.00±54.14)h,差异均有统计学意义(t=15.093、14.898、-15.645,均P<0.05).LC组、乳腺肿块组、混合痔组的研究组住院费用分别为(2 083.01±436.04)元、(8 842.46±861.15)元、(3 186.47±464.93)元,均明显少于对照组的(3 594.82±1 059.60)元、(11 003.76±1 706.78)元、(6 419.69±817.45)元,差异均有统计学意义(t=5.245、6.666、-16.082,均P<0.05).结论日间手术在普外科常见手术的临床实践有着显著的优势和发展空间,优于传统手术方式.Objective To explore the feasibility of clinical application of common day surgery in general surgery.Methods From January 2018 to December 2018,the clinical data of 40 cases of gallbladder stones (LC group),40 cases of breast lumps(breast lumps group) and 36 cases of mixed hemorrhoids(mixed hemorrhoids group) admitted to the daytime center of the First People's Hospital of Huainan were retrospectively analyzed.The average hospitalization days and expenses were analyzed,and each group was equally divided into control group (traditional surgery) and research group(day surgery).The hospitalization time and hospitalization expenses were compared between the control group and research group.Results The hospitalization time of the research group in the LC group,breast lumps group and mixed hemorrhoids group was (21.07 ± 6.31) h,(45.60 ± 7.39) h,(21.07 ±6.31) h,respectively,which were significantly shorter than those of the control group [(106.80 ± 25.20) h,(184.50 ± 25.00) h,(236.00 ± 54.14) h],the differences were statistically significant (t =15.093,14.898,-15.645,all P < 0.05).The hospitalization expenses of the research group in the LC group,breast lumps group and mixed hemorrhoids group were (2 083.01 ± 436.04) CNY,(8 842.46 ± 861.15) CNY,(3 186.47 ± 464.93) CNY,respectively,which were also significantly lower than those of the control group [(3 594.82 ± 1 059.60) CNY,(11 003.76 ± 1 706.78) C NY,(6 419.69 ± 817.45) CNY],the differences were statistically significant (t =5.245,6.666,-16.082,all P < 0.05).Conclusion Day surgery has obvious advantages and development space in clinical practice of common surgery in general surgery.It has incomparable effect and is superior to traditional surgery.

关 键 词：普通外科 日间住院医疗 住院时间 胆囊结石病 乳腺肿瘤 痔 疗效比较研究 

分 类 号：R197.323[医药卫生—卫生事业管理]