口腔颌面外科日间手术中国专家共识

doi:10.19438/j.cjoms.2019.05.001

中国口腔颌面外科杂志 ›› 2019, Vol. 17 ›› Issue (5): 385-390.doi: 10.19438/j.cjoms.2019.05.001

口腔颌面外科日间手术中国专家共识

蒋灿华¹, 翦新春¹, 张志愿², 郑家伟², 石冰³, 刘彦普⁴, 何悦², 彭歆⁵, 尚政军⁶, 韩新光⁷, 刘蔚东⁸, 莫洋⁸, 郭峰¹, 程智刚⁹, 陈传俊¹⁰, 龚忠诚¹¹, 金武龙¹², 张世周¹³, 袁荣涛¹⁴, 严奉国¹⁵, 李鹏程¹⁶, 张胜¹⁷, 高兴¹, 陈洁¹

1.中南大学湘雅医院口腔颌面外科,湖南长沙 410078;
2.上海交通大学医学院附属第九人民医院·口腔医学院口腔颌面-头颈肿瘤科,上海 200011;
3.四川大学华西口腔医学院口腔颌面外科,四川成都 610041;
4.空军军医大学口腔医学院口腔颌面外科,陕西西安 710032;
5.北京大学口腔医学院口腔颌面外科,北京 100081;
6.武汉大学口腔医学院口腔颌面外科,湖北武汉 430070;
7.郑州大学第一附属医院口腔颌面外科,河南郑州 450052;
8.中南大学湘雅医院日间手术中心,湖南长沙 410078;
9.中南大学湘雅医院麻醉科,湖南长沙 410078;
10.中国科技大学附属第一医院口腔颌面外科,安徽合肥 230001;
11.新疆医科大学第一附属医院口腔颌面外科,新疆乌鲁木齐 830054;
12.内蒙古医科大学附属医院口腔颌面外科,内蒙古呼和浩特 010010;
13.山东省立医院口腔颌面外科,山东济南 250021;
14.青岛大学附属青岛市立医院口腔颌面外科,山东青岛 266071;
15.浙江大学医学院附属第二医院口腔颌面外科,浙江杭州 310009;
16.海南医学院第一附属医院口腔颌面外科,海南海口 570102;
17.中南大学湘雅二医院口腔颌面外科,湖南长沙 410011

收稿日期:2019-08-20 出版日期:2019-09-20 发布日期:2020-03-11
通讯作者: 蒋灿华, E-mail: canhuaj@csu.edu.cn
作者简介:蒋灿华（1971-）,男,博士,主任医师,博士研究生导师

Chinese expert consensus on oral and maxillofacial ambulatory surgery

JIANG Can-hua¹, JIAN Xin-chun¹, ZHANG Zhi-yuan², ZHENG Jia-wei², SHI Bing³, LIU Yan-pu⁴, HE Yue², PENG Xin⁵, SHANG Zheng-jun⁶, HAN Xin-guang⁷, LIU Wei-dong⁸, MO Yang⁸, GUO Feng¹, CHENG Zhi-gang⁹, CHEN Chuan-jun¹⁰, GONG Zhong-cheng¹¹, JIN Wu-long¹², ZHANG Shi-zhou¹³, YUAN Rong-tao¹⁴, YAN Feng-guo¹⁵, LI Peng-cheng¹⁶, ZHANG Sheng¹⁷, GAO Xing¹, CHEN Jie¹

1.Department of Oral and Maxillofacial Surgery, Xiangya Hospital, Central South University. Changsha 410078, Hunan Province;
2.Department of Oromaxillofacial Head and Neck Oncology, Shanghai Ninth People's Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine. Shanghai 200011;
3.Department of Oral and Maxillofacial Surgery, West China School and Hospital of Stomatology, Sichuan University. Chengdu 610041, Sichuan Province;
4.Department of Oral and Maxillofacial Surgery, Stomatological School and Hospital, Air Force Military Medical University. Xi'an 710032, Shaanxi Province;
5.Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology. Beijing 100081;
6. Department of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, Wuhan University. Wuhan 430070, Hubei Province;
7.Department of Oral and Maxillofacial Surgery, The First Affiliated Hospital of Zhengzhou University. Zhengzhou 450052, Henan Province;
8.Center of Ambulatory Surgery, Xiangya Hospital, Central South University. Changsha 410078, Hunan Province;
9.Department of Anesthesiology, Xiangya Hospital, Central South University. Changsha 410078, Hunan Province;
10. Department of Oral and Maxillofacial Surgery, The First Affiliated Hospital of University of Science and Technology of China.Hefei 230001, Anhui Province;
11. Department of Oral and Maxillofacial Surgery, The First Affiliated Hospital of Xinjiang Medical University. Urumqi 830054, Xinjiang Uygur Autonomous Region;
12. Department of Oral and Maxillofacial Surgery, Affiliated Hospital of Inner Mongolia Medical University. Hohhot 010010, Inner Mongolia;
13. Department of Oral and Maxillofacial Surgery, Shandong Provincial Hospital. Jinan 250021, Shandong Province;
14. Department of Oral and Maxillofacial Surgery, Qingdao Municipal Hospital Affiliated to Qingdao University. Qingdao 266071, Shandong Province;
15. Department of Oral and Maxillofacial Surgery, The Second Affiliated Hospital of Zhejiang University School of Medicine. Hangzhou 310009, Zhejiang Province;
16. Department of Oral and Maxillofacial Surgery, the First Affiliated Hospital of Hainan Medical University. Haikou 570102, Hainan Province;
17. Department of Oral and Maxillofacial Surgery, The Second Xiangya Hospital of Central South University. Changsha 410011, Hunan Province, China

Received:2019-08-20 Online:2019-09-20 Published:2020-03-11

摘要/Abstract

摘要： 日间手术是指患者入院、手术和出院在1个工作日内完成的手术,具有加快病床周转、提高医疗资源使用效率、减少院内感染、加速患者康复及降低医疗费用等优点,为部分中、小手术患者提供了一种新型医疗服务。由于同时涉及手术、麻醉及围术期管理等多个环节,日间手术的开展在我国仍处于起步阶段。口腔颌面外科日间手术仅在部分医疗机构初步开展,尚未普及,且缺乏统一的规范化流程。为促进我国口腔颌面外科日间手术的发展,中国日间手术合作联盟和中华口腔医学会口腔颌面外科专业委员会组织全国15所医疗机构相关领域专家,参考国外日间手术的发展经验并结合国情,讨论并制订了本专家共识,以期对我国口腔颌面外科日间手术的开展起到规范和指导作用。

关键词: 口腔颌面外科, 日间手术, 专家共识, 规范化流程

Abstract: Ambulatory surgery is defined as an operation/procedure where the patient is discharged on the same working day. Ambulatory surgical hospitalization significantly increases the turnover rate of hospital beds and the utilization ratio of medical resources, reduces the hospital acquired infection, accelerates patients' recovery and lowers the hospitalization expenses. It has become a rising medical service for some patients who need only simple or less complicated surgical treatments. Since multiple parts including surgical operation, anesthesia and perioperative nursing are involved, ambulatory surgical hospitalization in China is still in a primary stage. Ambulatory oral and maxillofacial surgery only being carried out in some hospitals and has not been popularized so far, owing to lack of standardized processes consensus and guidelines. In order to promote the development and popularization of ambulatory oral and maxillofacial surgical hospitalization, experts from 15 medical institutions were assembled by the Chinese Ambulatory Surgery Alliance and Chinese Society of Oral and Maxillofacial Surgery to discuss and formulate this consensus, referring to successful experiences in foreign countries and based on our national situation. With a view to the adoption of this consensus, we are hoping to provide a theoretical and practical guidance and reference for ambulatory oral and maxillofacial surgical hospitalization in China.

Key words: Oral and maxillofacial surgery, Ambulatory surgery, Expert consensus, Standardized processes

中图分类号:

R782

蒋灿华, 翦新春, 张志愿, 郑家伟, 石冰, 刘彦普, 何悦, 彭歆, 尚政军, 韩新光, 刘蔚东, 莫洋, 郭峰, 程智刚, 陈传俊, 龚忠诚, 金武龙, 张世周, 袁荣涛, 严奉国, 李鹏程, 张胜, 高兴, 陈洁. 口腔颌面外科日间手术中国专家共识[J]. 中国口腔颌面外科杂志, 2019, 17(5): 385-390.

JIANG Can-hua, JIAN Xin-chun, ZHANG Zhi-yuan, ZHENG Jia-wei, SHI Bing, LIU Yan-pu, HE Yue, PENG Xin, SHANG Zheng-jun, HAN Xin-guang, LIU Wei-dong, MO Yang, GUO Feng, CHENG Zhi-gang, CHEN Chuan-jun, GONG Zhong-cheng, JIN Wu-long, ZHANG Shi-zhou, YUAN Rong-tao, YAN Feng-guo, LI Peng-cheng, ZHANG Sheng, GAO Xing, CHEN Jie. Chinese expert consensus on oral and maxillofacial ambulatory surgery[J]. China J Oral Maxillofac Surg, 2019, 17(5): 385-390.

参考文献

[1] International Association for Ambulatory Surgery. Ambulatory surgery handbook[M]. 2nd Ed. 2014, . Ambulatory surgery handbook[M]. 2nd Ed. 2014, http://www.iaas-med.com/handbook.
[2] 马洪升. 日间手术:一种富有挑战性的手术管理模式[J]. 华西医学, 2019, 34(2):113-115.
[3] 张志愿. 口腔颌面外科学[M].第7版. 北京: 人民卫生出版社,2012.
[4] 陈亚玲, 莫洋, 谭亮, 等. 综合性医院日间手术中心的建设和运营管理[J]. 华西医学, 2019, 34(2): 127-132.
[5] DeJohn P. Careful screening and scrutiny needed to select ambulatory surgery patients[J].OR Manager, 2013, 29(9): 32-34.
[6] Fitz-Henry J.The ASA classification and peri-operative risk[J]. Ann R Coll Surg Engl, 2011, 93(3): 185-187.
[7] Benarroch-Gampel J, Riall TS.What laboratory tests are required for ambulatory surgery?[J]. Adv Surg, 2013, 47: 81-98.
[8] Richman DC.Ambulatory surgery: how much testing do we need?[J]. Anesthesiol Clin, 2010, 28(2):185-197.
[9] 中华医学会麻醉学分会.日间手术麻醉专家共识[J].临床麻醉学杂志, 2016, 32(10): 1017-1022.
[10] Nahm S, Stevens L, Scott P, et al.Effects of a web-based preoperative education program for patients undergoing ambulatory surgery: a preliminary study[J]. J Hosp Adm, 2012, 1(1): 21-29.
[11] Eikaas H, Raeder J.Total intravenous anaesthesia techniques for ambulatory surgery[J]. Curr Opin Anaesthesiol, 2009, 22(6): 725-729.
[12] Awad IT, Chung F.Factors affecting recovery and discharge following ambulatory surgery[J]. Can J Anaesth, 2006, 53(9): 858-872.
[13] Pavlin DJ, Chen C, Penaloza DA, et al.Pain as a factor complicating recovery and discharge after ambulatory surgery[J]. Anesth Analg, 2002, 95(3): 627-634.
[14] Tong D, Chung F.Postoperative pain control in ambulatory surgery[J]. Surg Clin North Am, 1999, 79(2): 401-430.
[15] 中华医学会麻醉学分会.成人日间手术后镇痛专家共识[J].临床麻醉学杂志, 2017, 33(9): 911-917.
[16] Sarin P, Urman RD, Ohno-Machado L.An improved model for predicting postoperative nausea and vomiting in ambulatory surgery patients using physician-modifiable risk factors[J]. J Am Med Inform Assoc,2012 ,19(6): 995-1002.
[17] Odom-Forren J, Hall LA, Fetzer SJ.Psychometric properties of the ambulatory surgery index of nausea, vomiting, and retching[J]. J Nurs Meas, 2016, 24(3): 454-464.
[18] 吴新民, 罗爱伦, 田玉科, 等.术后恶心呕吐防治专家意见2012[J]. 临床麻醉学杂志, 2012, 28(4): 413-416.
[19] Schaefer MK, Jhung M, Dahl M, et al.Infection control assessment of ambulatory surgical centers[J]. JAMA, 2010, 303(22): 2273-2279.
[20] Chung F.Discharge criteria-a new trend[J]. Can J Anaesth,1995,42(11): 1056-1058.
[21] Wong J, Tong D, De Silva Y, et al.Development of the functional recovery index for ambulatory surgery and anesthesia[J]. Anesthesiology, 2009, 110(3): 596-602.
[22] Phillips NM, Street M, Kent B, et al.Post-anaesthetic discharge scoring criteria: key findings from a systematic review[J]. Int J Evid Based Healthc, 2013,11(4): 275-284.
[23] Mayo I, Lizarondo L, Stokan M.Experiences of adult patients in discharge and recovery from day surgery: a systematic review protocol of qualitative evidence[J]. JBI Database System Rev Implement Rep, 2019, 17(2): 164-169.
[24] 刘蔚东, 李萍, 谭亮, 等. 日间手术的术式准入与挑战[J]. 华西医学, 2015, 30(5): 820-823.
[25] 于丽华. 中国日间手术发展的历程与展望[J].中国医院管理, 2016, 36(6): 16-18.

相关文章 15

[1]	邰茂众, 秦中平, 郑家伟, 李克雷, 刘学键, 李凯, 袁斯明, 范新东, 周德凯, 董长宪, 吉毅, 顾松, 霍然, 杨耀武, 王绪凯. 局限性血管内凝血诊断与治疗中国专家共识[J]. 中国口腔颌面外科杂志, 2024, 22(4): 313-321.
[2]	王延安, 秦中平, 郑家伟, 李春洁, 刘少华, 杨耀武, 陈刚, 陈伟良, 刘学键, 杜仲, 张雷, 王业飞, 王德明, 苏立新, 谢峰, 董长宪, 郭磊, 李凯, 顾松, 何悦, 张志愿. 头颈部血管瘤及脉管畸形手术治疗专家共识[J]. 中国口腔颌面外科杂志, 2024, 22(2): 105-117.
[3]	任振虎，陈铭韬，吴汉江，张胜，方坤，谢尚，刘宇，胡传宇，刘冰，李春洁，朱桂全，王成，高洋，张晓晨，石剑波，张永红，崔明哲，季彤，任国欣，王延安，陈伟良，张陈平，何悦，张志愿. 头颈肿瘤围术期静脉血栓栓塞症防治中国专家共识[J]. 中国口腔颌面外科杂志, 2024, 22(1): 1-9.
[4]	许鑫, 夏明, 金晨昱, 周韧, 徐辉. 经鼻腔气管插管固定器用于口腔颌面外科全麻患者鼻保护的效果评价[J]. 中国口腔颌面外科杂志, 2023, 21(5): 486-490.
[5]	撒国良, 余自力, 朱鑫飚, 杨学文. “一体两翼”教学模式在口腔颌面外科理论教学中的探索[J]. 中国口腔颌面外科杂志, 2023, 21(5): 506-510.
[6]	何悦, 陈珩, 安金刚, 郭玉兴, 潘剑, 田磊, 刘冰, 侯劲松, 李劲松, 蒋灿华, 李萌宇, 田臻, 许洁, 朱凌, 孙长伏, 郅克谦, 瞿晴, 宗春琳, 孙晶晶, 张志愿. 药物相关性颌骨坏死临床诊疗专家共识[J]. 中国口腔颌面外科杂志, 2023, 21(4): 313-325.
[7]	闫星泉, 南欣荣, 任晓彦, 赵佳雄, 孟兵. 3D显微镜在35例口腔颌面外科手术中的应用效果评价[J]. 中国口腔颌面外科杂志, 2022, 20(6): 590-593.
[8]	黄建平, 江灿洋, 江燕, 张晓贤, 阮鑫, 施斌, 林李嵩, 黄立. 多维数字化模拟技术在口腔颌面外科研究生培养中的应用[J]. 中国口腔颌面外科杂志, 2022, 20(6): 594-598.
[9]	郑家伟, 王绪凯, 秦中平, 范新东, 李凯, 杨耀武, 霍然, 刘少华, 赵吉宏, 汪小勇, 周德凯, 刘学键. 口服普萘洛尔治疗婴幼儿血管瘤中国专家共识（2022版）[J]. 中国口腔颌面外科杂志, 2022, 20(4): 313-319.
[10]	刘冰, 何悦, 彭歆, 孙长伏, 韩正学, 吴煜农, 彭利伟, 赵熠, 陶谦, 韩新光, 李劲松, 苏彤, 李波, 张雷, 胡砚平, 陈传俊, 李一, 李铁军, 赵怡芳. 牙源性角化囊肿诊疗中国专家共识[J]. 中国口腔颌面外科杂志, 2022, 20(3): 209-218.
[11]	费娟, 杨悦来, 胡崟清. 1 428例口腔颌面外科全麻患者复苏期喉痉挛的相关因素分析[J]. 中国口腔颌面外科杂志, 2022, 20(2): 164-167.
[12]	王育新, 王志勇, 王永功, 王慧明, 王丽珍, 田皞, 叶金海, 付坤, 阮敏, 孙长伏, 孙国文, 刘法昱, 许碧云, 后军, 刘冰, 刘亮, 陈永锋, 陈占伟, 肖灿, 李思毅, 李志勇, 李勇, 李楠, 张陈平, 张东升, 张胜, 张凯, 杨溪, 何巍, 苏彤, 季彤, 林李嵩, 罗瑞华, 赵志立, 胡勤刚, 唐瞻贵, 徐蔚嘉, 黄志权, 黄晓峰, 梁玉洁, 韩正学, 韩伟, 蒋灿华, 喻建军, 蔡志刚, 廖贵清, 廖圣恺, 蔡惠明, 魏建华. 吲哚菁绿荧光成像技术在口腔鳞癌治疗中的应用：中国专家共识[J]. 中国口腔颌面外科杂志, 2022, 20(1): 1-6.
[13]	杨溪, 房笑, 贺捷. 新冠疫情对口腔颌面外科教学模式的影响[J]. 中国口腔颌面外科杂志, 2022, 20(1): 81-87.
[14]	郭伟, 任国欣, 孙沫逸, 孔蕴毅, 王丽珍, 步荣发, 冉炜, 唐瞻贵, 李龙江, 孟箭, 孙志军, 尚伟, 吕炯, 武和明, 张陈平, 何悦, 马旭辉, 宋浩, 鞠侯雨, 郑家伟, 龚忠诚, 杨凯, 张杰, 吴云腾. 中国人口腔黏膜黑色素瘤临床诊治专家共识[J]. 中国口腔颌面外科杂志, 2021, 19(6): 481-488.
[15]	陈传俊, 陈伟良, 孙长伏, 何悦, 蒋灿华, 彭歆, 尚政军, 韩正学, 李劲松, 侯劲松, 林李嵩, 韩新光, 魏建华, 王志勇, 吴煜农, 郑家伟, 李龙江, 王慧明, 李祖兵, 郭传瑸, 杨驰, 石冰, 张志愿. 颏下岛状瓣修复口腔颌面部缺损专家共识[J]. 中国口腔颌面外科杂志, 2021, 19(5): 385-391.

口腔颌面外科日间手术中国专家共识

Chinese expert consensus on oral and maxillofacial ambulatory surgery

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

本文评价