【摘要】 探讨日间手术模式的运行流程及效果，并对日间手术的管理及优势予以总结。2009年10月-2011年2月，我中心采用日间手术模式对普外、儿外、泌尿、耳鼻喉、眼、消化、肾脏等疾病患者施行手术治疗。顺利完成日间手术约5 900余例，日间手术成功率100%，未发生1例因为迟发并发症而重新入院治疗事件，患者及家属对各自的治疗方案满意。合理的日间手术模式和流程，可以最大限度地减少医疗费用，缩短患者等待入院和行手术时间，提高床位周转率和利用率，符合医患双方的利益。【Abstract】 This article discusses the operating process and results of ambulatory surgery, and to summarize the management and advantages of ambulatory surgery. From October 2009 to February 2011, the mode of ambulatory surgery was used in our department to treat patients. General, pediatric, urological, otolaryngological, ophthalmological surgeries and surgeries for digestive system and kidney were completed in this mode. About 5 900 surgeries were completed successfully with a mission success rate of 100%. No rehospitalization event occurred because of late onset complications. Both patients and families were satisfied with the treatment. Reasonable mode and process of ambulatory surgery can decrease cost of the patients, shorten waiting time of being admitted and operated, and improve the turnover and using rates of beds. It will bring benefits for both hospitals and patients.
Day surgery can shorten the average hospital stay and enhance the recovery of patients, and has great social and economic benefits. In order to provide reference for the establishment of standardized operating room management, West China Hospital of Sichuan University summed up the experience of past years to develop this management specification for day surgery operating room. The main contents of this specification include: the principles of scheduling day surgery; the resource allocation of operating room; operating room nursing care, nursing points, and precautions. The release of this specification is conducive to the improvement of the nursing management for day surgery operating room, and the promotion of day surgery.