Objective To explore the application effect of the clinical pathway for perianal day surgery based on enhanced recovery after surgery (ERAS) concept. Methods The case data of patients who underwent perianal surgery in the Department of Anorectal Surgery of Gansu Provincial Hospital between January and October 2023 and patients who underwent perianal day surgery based on the ERAS clinical pathway in the Ambulatory Surgery & Chemotherapy Centre of Gansu Provincial Hospital were retrospectively collected. The patients in the Department of Anorectal Surgery were defined as the control group, while the patients in the Ambulatory Surgery & Chemotherapy Centre were defined as the pathway group. The differences in indicators such as hospitalization cost, average hospitalization time, preoperative hospitalization time, surgical time, intraoperative bleeding, patient satisfaction, and postoperative follow-up between the two groups of patients were analyzed. Results A total of 400 patients were included, with 200 in each group. The differences between the two groups in gender and age were not statistically significant (P>0.05), the Visual Analogue Scale of the pathway group was lower than that of the control group (P<0.05), and the Kolcaba Comfort Scale score was higher than that of the control group (P<0.05). The hospitalization cost, average hospitalization time, preoperative hospitalization time, and surgical time of the pathway group were all lower than those of the control group (P<0.05), and there was no statistically significant difference in intraoperative bleeding between the two groups (P>0.05). The satisfaction rates of the pathway group and the control group were 90.5% and 86.0%, respectively, and there was no statistically significant difference between the two groups (P>0.05). The follow-up results showed that perianal day surgery did not increase the discomfort of patients after discharge. Conclusions The clinical pathway for day surgery based on ERAS concept is more conducive to the postoperative recovery of patients undergoing day surgery, reducing medical costs, improving medical quality, and increasing patient satisfaction. It is worthy of clinical promotion and application.
Citation：
LIN Wenyan, FAN Feifei, WANG Yongqing, LI Ting, SONG Xia, KANG Lan, ZHANG Li, FANG Jinrui. Exploration of clinical pathway for perianal day surgery based on enhanced recovery after surgery concept. West China Medical Journal, 2024, 39(2): 204-207. doi: 10.7507/1002-0179.202311297
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Copyright © the editorial department of West China Medical Journal of West China Medical Publisher. All rights reserved
| 1. |
黄先涛. 临床路径管理的发展与现状. 中国病案, 2014, 15(11): 22-24.
|
| 2. |
张茜, 仵晓荣, 刘红梅. 我国加速康复外科护理的发展现状及前景. 护理研究, 2018, 32(23): 3660-3663.
|
| 3. |
宋承毅. 加速康复外科实施效果和影响因素研究—以广州市某三甲医院为例. 广州: 南方医科大学, 2019.
|
| 4. |
黄陈, 杨丽, 赵蓉, 等. 加速康复外科在促进日间手术多维度发展中的应用. 中国医院管理, 2020, 40(2): 47-49.
|
| 5. |
中华医学会麻醉学分会. 日间手术麻醉专家共识. 临床麻醉学杂志, 2016, 32(10): 1017-1022.
|
| 6. |
孙辉, 明敏馨, 马旭东. 我国二、三级医疗机构日间手术发展现状分析. 中国医院管理, 2022, 42(3): 48-51.
|
| 7. |
潘锋. 创新服务模式 日间手术促进公立医院高质量发展. 中国当代医药, 2023, 30(31): 1-4.
|
| 8. |
宋思惠, 秦建平. 肛周脓肿的诊治进展. 中国医药导报, 2019, 16(32): 47-50.
|
| 9. |
董华亮. 高位肛周脓肿采用负压冲吸联合切开引流术疗效观察. 医药论坛杂志, 2022, 43(12): 76-79.
|
| 10. |
王春景. 肛瘘的外科治疗进展分析. 中国城乡企业卫生, 2020, 35(8): 45-47.
|
| 11. |
中国医师协会肛肠医师分会指南工作委员会. 肛周脓肿临床诊治中国专家共识. 中华胃肠外科杂志, 2018, 21(4): 456-457.
|
| 12. |
中国医师协会肛肠医师分会临床指南工作委员会. 肛瘘诊治中国专家共识 (2020 版). 中华胃肠外科杂志, 2020, 23(12): 1123-1130.
|
| 13. |
孙美蓉. 临床路径化护理干预在肛周脓肿患者围手术期的应用效果分析. 黑龙江医学, 2023, 47(19): 2397-2399.
|
| 14. |
丁元霸, 李瑞. 经括约肌间瘘管结扎术联合直肠内推移皮瓣治疗高位复杂性肛瘘的疗效观察. 中国肛肠病杂志, 2023, 43(10): 28-31.
|
| 15. |
邓红, 何倩文. 共同参与式护理对日间化疗患者静脉化疗安全及满意度的影响. 中国医学创新, 2021, 18(23): 118-122.
|
- 1. 黄先涛. 临床路径管理的发展与现状. 中国病案, 2014, 15(11): 22-24.
- 2. 张茜, 仵晓荣, 刘红梅. 我国加速康复外科护理的发展现状及前景. 护理研究, 2018, 32(23): 3660-3663.
- 3. 宋承毅. 加速康复外科实施效果和影响因素研究—以广州市某三甲医院为例. 广州: 南方医科大学, 2019.
- 4. 黄陈, 杨丽, 赵蓉, 等. 加速康复外科在促进日间手术多维度发展中的应用. 中国医院管理, 2020, 40(2): 47-49.
- 5. 中华医学会麻醉学分会. 日间手术麻醉专家共识. 临床麻醉学杂志, 2016, 32(10): 1017-1022.
- 6. 孙辉, 明敏馨, 马旭东. 我国二、三级医疗机构日间手术发展现状分析. 中国医院管理, 2022, 42(3): 48-51.
- 7. 潘锋. 创新服务模式 日间手术促进公立医院高质量发展. 中国当代医药, 2023, 30(31): 1-4.
- 8. 宋思惠, 秦建平. 肛周脓肿的诊治进展. 中国医药导报, 2019, 16(32): 47-50.
- 9. 董华亮. 高位肛周脓肿采用负压冲吸联合切开引流术疗效观察. 医药论坛杂志, 2022, 43(12): 76-79.
- 10. 王春景. 肛瘘的外科治疗进展分析. 中国城乡企业卫生, 2020, 35(8): 45-47.
- 11. 中国医师协会肛肠医师分会指南工作委员会. 肛周脓肿临床诊治中国专家共识. 中华胃肠外科杂志, 2018, 21(4): 456-457.
- 12. 中国医师协会肛肠医师分会临床指南工作委员会. 肛瘘诊治中国专家共识 (2020 版). 中华胃肠外科杂志, 2020, 23(12): 1123-1130.
- 13. 孙美蓉. 临床路径化护理干预在肛周脓肿患者围手术期的应用效果分析. 黑龙江医学, 2023, 47(19): 2397-2399.
- 14. 丁元霸, 李瑞. 经括约肌间瘘管结扎术联合直肠内推移皮瓣治疗高位复杂性肛瘘的疗效观察. 中国肛肠病杂志, 2023, 43(10): 28-31.
- 15. 邓红, 何倩文. 共同参与式护理对日间化疗患者静脉化疗安全及满意度的影响. 中国医学创新, 2021, 18(23): 118-122.
