日间手术在单纯性白内障手术患者中的应用

目的探讨日间手术应用于白内障手术患者的效果，为临床白内障手术选择最优的手术方式提供依据。方法选取单眼单纯白内障患者160例采用随机数字表法随机分为日间手术组和住院手术组各80例，日间手术组患者在门诊完成术前检查，约定手术时间入院并行手术，24h内出院回家休养，住院手术组患者住院后完成术前检查等待安排手术，手术后观察几天无异常即可出院，比较两组患者术前待床天数、住院天数及医疗费用情况。结果住院手术组术前待床天数为18．0d，日间手术组为1．2d；住院手术组住院时间为（5．15±1．36）d，日间手术组为（1．00±0．00）d，差异有统计学意义（t=27．286，P〈0．01）；住院手术组医疗费用为（6901．72±392．43）元，大于日间手术组的（6499．13±134．05）元，差异有统计学意义（t=8．683，P〈0．01）。结论单纯性白内障手术采用日间手术的方式，能降低医疗费用，缩短住院时间，可作为首选治疗方式。

Application of ambulatory surgery in simple cataract patients

Objective To explore the effect of ambulatory surgery on cataract patients and provide basis for optimal cataract surgery mode. Methods 160 cataract patients without complications were selected and randomly divided into ambulatory surgery group （ n = 80 ） and hospitalization surgery group （ n = 80 ）. The patients of the ambulatory surgery group completed their examinations in the outpatient section before they made an appointment and admitted for operation and were discharged in 24 h after surgery. The patients of the hospitalization surgery group completed their examinations after admission and then waited for the surgical arrangement, and they were kept for observation for a few days before discharge. Days on the waiting list, length of stay and medical cost were compared between the two groups. Results Days on the waiting list was 18.0 d in the hospitalization surgery group and 1.2 d in the ambulatory surgery group. Length of stay was （5.15 ± 1.36） d, （1.00 ±0. 00） d, respectively. The difference was statistically significant（t =27. 286,P 〈0. 01 ）. Medical cost of the hospitalization surgery group （ 6 901.72 ± 392.43 ） yuan was higher than the ambulatory surgery group （6499.13± 134. 05 ） yuan, and the difference was statistically significant （t = 8. 683, P 〈 0. 01 ）. Conclusions Ambulatory surgery on cataracs without complications can decrease medical cost and length of stay, and can be the preferred treatment.