日间手术麻醉新进展  

New progress in anesthesia for day surgery

作　　者：李俊杰 冯艳[1] 孙德峰[1] LI Junjie;FENG Yan;SUN Defeng(Department of Anesthesiology,the First Affiliated Hospital of Dalian Medical University,Dalian,Liaoning 116011,P.R.China)

机构地区：[1]大连医科大学附属第一医院麻醉科,辽宁大连116011

出　　处：《华西医学》2022年第2期295-300,共6页West China Medical Journal

摘　　要：日间手术的历史可以追溯到1909年,由英国儿科医师首次开展。日间手术的麻醉管理要求起效快,苏醒早,恢复迅速,围手术期不良反应少。保证患者的医疗安全是逐步推行日间手术的首要条件。随着医疗水平的不断发展,日间手术的适用领域逐步拓宽,在麻醉管理方面也不断涌现出了新的理念及进展。该文总结了国内外相关研究,从麻醉前准备、麻醉方式选择以及麻醉后恢复3个方面对日间手术麻醉的新进展作一综述,旨在为日间手术的麻醉管理提供参考。Day surgery dates back to 1909,when it was first performed by British paediatricians.Anesthesia management for day surgery requires quick onset,early recovery,rapid recovery,and few perioperative adverse reactions.Ensuring the medical safety of patients is the primary condition for the gradual implementation of day surgery.With the continuous development of medical level,the applicable field of day surgery has gradually expanded,and new concepts and progress have also emerged in anesthesia management.This article summarizes the relevant research at home and abroad,and reviews the new progress of anesthesia for day surgery from three aspects:preparation before anesthesia,selection of anesthesia methods,and recovery after anesthesia,in order to provide a reference for anesthesia management of day surgery.

关 键 词：日间手术 麻醉前准备 麻醉方式 

分 类 号：R614[医药卫生—麻醉学]