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.

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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

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