小儿日间手术术后管理进展  

New Progress in Postoperative Management of Pediatric Ambulatory Surgery

作　　者：刘超群 朱波[1] 申乐[1] 黄宇光[1] LIU Chaoqun;ZHU Bo;SHEN Le;HUANG Yuguang(Department of Anesthesiology,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100730,China)

机构地区：[1]中国医学科学院,北京协和医学院,北京协和医院麻醉科,北京100730

出　　处：《协和医学杂志》2021年第6期999-1003,共5页Medical Journal of Peking Union Medical College Hospital

摘　　要：小儿日间手术可最大限度地减少患儿与父母的分离,缓解患儿的焦虑情绪,降低医疗成本。然而,由于小儿特殊的解剖和生理学特点,麻醉术后易发生疼痛、恶心呕吐和谵妄等并发症。因此,术后管理是小儿日间手术顺利实施的重要环节之一,其规范化管理对于保障患儿安全,提高日间手术医疗质量起着至关重要的作用。本文就小儿日间手术术后常见并发症及出院标准相关研究进展进行综述。Pediatric ambulatory surgery can minimize the separation of pediatric patients from their parents,relieve anxiety,and offer care at a reduced cost.However,children are prone to experiencing pain,nausea,vomiting,delirium,and other complications after anesthesia and ambulatory surgery due to their anatomical and physiological characteristics.So,standardized postoperative management is critical to ensure the safety of children and improve the medical quality of pediatric ambulatory surgery.This article reviews new progress in research on common postoperative complications and discharge criteria of pediatric ambulatory surgery.

关 键 词：小儿日间手术 术后疼痛 术后恶心呕吐 苏醒期谵妄 出院标准 

分 类 号：R619[医药卫生—外科学] R614[医药卫生—临床医学]