基于互联网门诊的术前麻醉评估模式在口腔颌面外科日间手术患者中的应用

doi:10.19438/j.cjoms.2026.01.008

摘要/Abstract

摘要： 目的: 探讨互联网门诊在口腔颌面外科日间手术患者术前麻醉评估（preanesthesia evaluation,PAE）中的应用效果。方法: 回顾性分析2024年6月至2024年12月上海交通大学医学院附属第九人民医院拟行口腔颌面外科日间手术的患者资料,根据麻醉评估方式不同,分为线下门诊PAE组（线下组）和互联网门诊PAE组（互联网组）。采用倾向性评分匹配（propensity score matching,PSM）均衡两组基线资料后,比较两组患者手术取消率、困难气道评估情况、交通费、误工费及患者满意度。结果: 共纳入患者1 828例,PSM成功匹配457对患者。互联网组手术取消率为 2.2%,与线下组的1.3%无显著差异。互联网组预计困难气道病例数20例,线下组25例,两组无显著差异。在成本方面,互联网组患者人均可节约交通费551.8元、误工费135.9元。互联网组患者满意度达99.2%,显著高于线下组的90.9%（P<0.001）。结论: 与传统线下门诊PAE相比,互联网门诊PAE可显著降低患者就医成本,改善患者就医体验,提高患者满意度;且未增加手术取消率,也未影响困难气道评估,值得推广应用。

关键词: 术前麻醉评估, 互联网门诊, 日间手术, 口腔颌面外科

Abstract: PURPOSE: To explore the application effect of internet outpatient services in preanesthesia evaluation (PAE) for patients undergoing oral and maxillofacial day surgery. METHODS: A retrospective analysis was conducted on the outpatient data of patients scheduled for oral and maxillofacial day surgery in Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine from June 2024 to December 2024. The patients were divided into two groups based on the method of anesthesia assessment: the in-office PAE group (in-office group) and the internet outpatient PAE group (internet group). After balancing the baseline data of the two groups using propensity score matching(PSM), the surgical cancellation rate, difficult airway assessment, transportation costs, lost work costs, and patient satisfaction were compared between the two groups. RESULTS: A total of 1 828 patients were included in the study, and 457 pairs of patients were successfully matched by PSM. The surgical cancellation rate in the internet group(2.2%) showed no significant difference from that in the in-office group(1.3%). The number of anticipated difficult airway cases in the internet group (n=20) was not significantly different from the in-office group(n=24). Patients in the internet group saved an average of 551.8 RMB in transportation costs and 135.9 RMB in lost work costs. Patients' satisfaction in the internet group(99.2%) was significantly higher than that in the in-office group (90.9%) (P<0.001). CONCLUSIONS: Compared with traditional outpatient PAE, internet outpatient PAE significantly reduces medical costs, improves the patient experience, and enhances patient satisfaction, without increasing the surgical cancellation rate or affecting difficult airway assessment. It is worthy of promotion and application.

Key words: Preanesthesia evaluation, Internet outpatient, Day surgery, Oral and maxillofacial surgery

中图分类号:

R782.05

崔雪薇, 章敏敏, 曹爽, 康华. 基于互联网门诊的术前麻醉评估模式在口腔颌面外科日间手术患者中的应用[J]. 中国口腔颌面外科杂志, 2026, 24(1): 47-53.

Cui Xuewei, Zhang Minmin, Cao Shuang, Kang Hua. Application of internet outpatient preoperative anesthesia evaluation model in day surgery patients undergoing oral and maxillofacial surgery[J]. China J Oral Maxillofac Surg, 2026, 24(1): 47-53.

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