经输尿管镜钬激光碎石日间手术的安全及质量评价·临床经验 - 海南医学.pdf

Hainan Med J, Jan. 2017, Vol. 28, No. 1 doi:10.3969/j.issn.1003-6350.2017.01.046 ·临床经验· 经输尿管镜钬激光碎石日间手术的安全及质量评价 李良菊，朱泉玉，胡海燕 (成都市西区医院麻醉科，四川 成都 610036) 【摘要】 目的 探讨输尿管镜钬激光碎石术行日间手术的可行性。方法 选择2015 年10月至2016 年4 月于 我院行输尿管镜钬激光碎石术的日间手术患者和住院手术患者各80例为研究对象，比较两组患者的等待手术时间、 住院时间、住院费用、手术时间、术后麻醉并发症发生率和就医满意度。结果 日间手术组与住院手术组患者的手术 时间、术后麻醉并发症发生率差异均无统计学意义(P0.05) ；日间手术组患者的等待手术时间、住院时间和住院费用 分别为(3.26±0.65) h、(22.15±5.29) h、(4 463.62±758.46)元，明显少于住院手术组的(22.47±4.62) h、(70.64±14.61) h 和 (7 864.93±1 206.35)元，差异均具有统计学意义(P0.05) ；日间手术组患者的就医满意度为61% ，明显高于住院手术组 的34% ，差异具有统计学意义(P0.05)。结论 选择合适的输尿管镜下钬激光碎石患者，经充分术前准备及严格的术 后管理，行日间手术是安全可行的，其能明显减少患者等待入院时间、住院时间以及住院费用，且患者就医满意度高。 【关键词】输尿管结石；钬激光碎石术；日间手术；可行性 【中图分类号】R699 【文献标识码】A 【文章编号】 1003—6350（2017 ）01—0143—03 Safety and quality evaluation of day surgery for ureteroscopic holmium laser lithotriphy for ureteral calculi. LI Liang-ju, ZHU Quan-yu, HU Hai-yan. Department of Anesthesiology, Chengdu Western Hospital, Chengdu 610036, Sichuan, CHINA 【Abstract 】 Objective To investigate the feasibility of day surgery for ureteroscopic holmium laser lithotriphy for ureteral calculi. Methods A total of 80 patients with day surgery (group A) and 80 patients with inpatient surgery (group B) who underwent ureteroscopic holmium laser lithotriphy for ureteral calculi in our hospital from October 2015 to April 2016 were selected as research objects. The time of waiting to be admitted for operation, length of stay, hospital- ization costs, operative time, the incidence of postoperative anesthesia complications and the medical satisfaction of pa- tients were compared between the two groups. Results There were no significant differences i