基于术后加速康复的日归手术全程管理专家共识  

Expert consensus on whole-process management of same-day surgery for enhanced recovery after surgery

作　　者：中国心胸血管麻醉学会日间手术麻醉分会 "基于术后加速康复的日归手术全程管理专家共识"工作组 梁鹏[2,3] 雷甜甜[2,3] 孙德峰[4] Day Surgery Anesthesia Branch of Chinese Society of Cardiothoracic Anesthesia;"Expert Consensus on Whole-Process Management of Same-Day Surgery for Enhanced Recovery after Surgery"Task Force

机构地区：[1]不详 [2]四川大学华西医院日间手术中心,成都610041 [3]四川大学华西医院麻醉手术中心,成都610041 [4]大连医科大学附属第一医院麻醉科

出　　处：《中华麻醉学杂志》2023年第4期385-399,共15页Chinese Journal of Anesthesiology

基　　金：四川省科技厅科研项目(2022JDR0193,2023JDR0245);国家自然科学基金(71804118)。

摘　　要：术后加速康复理念促使了日间手术向日归手术的加速转变。日归手术这一创新实践打破了我国日间手术需过夜留观的传统局限,通过构建"当日住院、当日手术、当日出院"的当日归宅模式,手术诊疗流程优化和医疗服务效率提升得以实现,契合我国当前对择期手术服务迫切的医疗需求。本文参考国内外最新文献,依据国内日间手术发展基础和研究前沿,围绕围术期管理措施、术后加速康复革新方案、以及手术质量与安全保障体系三大方面的一系列具体内容达成了初步共识,本共识的制订旨在为规范化地探索和推进日归手术全程管理策略提供指导性意见,进一步推动日归手术在我国日间手术领域的开展。The concept of enhanced recovery after surgery promotes the accelerated transition from day surgery to same-day surgery.The innovative practice of same-day surgery breaks the traditional limitation of overnight observation for day surgery in China.By constructing the mode of"same-day hospitalization,same-day operation,and same-day discharge",the optimization of medical process and improvement in medical service efficiency can be realized,which conforms to the urgent medical demand for elective surgery services in China.By referring to the latest literature at home and abroad,based on the development basis and research frontier of domestic day surgery,this paper has reached a preliminary consensus on a series of specific contents in three aspects:perioperative management measures,enhanced recovery after surgery renovation plan,and surgical quality and safety guarantee system.The construction of this consensus aims to provide guidance for the standardized exploration and promotion of the whole-process management strategy of same-day surgery and further promote the development of same-day surgery in the field of day surgery in China.

关 键 词：门诊外科手术 术后加速康复 围手术期医护 专家共识 

分 类 号：R197.323[医药卫生—卫生事业管理]