武警医学2025，Vol.36Issue(2)：119-123,5.
单髁关节置换术日间手术可行性分析——一项巢式病例对照研究
Feasibility analysis of day surgery for unicompartmental knee arthroplasty:a nested case-control study
刘玲静 1李萌萌 2刘洋 2孙雨 2解群 2房晓燕2
作者信息
- 1. 100048 北京,解放军总医院第四医学中心麻醉科||030000 太原,山西医科大学麻醉学院
- 2. 100048 北京,解放军总医院第四医学中心麻醉科
- 折叠
摘要
Abstract
Objective To investigate the feasibility of the day surgery model of joint replacement by retrospectively analyzing the perioperative management and early regression of patients undergoing unicompartmental knee arthroplasty(UKA)in the day surgery model and the conventional inpatient model.Methods Patients receiving UKA day surgery under general anesthesia in the Fourth Medical Center of PLA General Hospital from May 2023 to September 2024 were selected as the day surgery group.Based on the pa-tients'gender,age and other information,they were matched with concurrent hospitalized general anesthesia UKA patients according to 1:3 as the conventional surgery group.The basic condition of the patients,perioperative anesthesia management,length of stay,hospi-talization cost,postoperative complications,and readmission rate were compared between the two groups.Results A total of 224 cases were included(56 cases in the day surgery group and 168 cases in the conventional surgery group).There were no statistically signifi-cant differences in the basic condition of the patients,ASA classification,or preoperative comorbidities between the groups(P>0.05);there were also no statistically significant differences in the intraoperative patients'mean arterial pressure,heart rate,anesthesia drug consumption,intraoperative fluid balance,or operative time between the groups(P>0.05);the patients in the day surgery group had significantly higher rates of preoperative retractile myotubular compared with the conventional surgery group,the preoperative retractor tube block rate was significantly higher in the day surgery group(71.4%vs.36.9%,P<0.05);there were no statistically significant differences in the postoperative patients'resting and exercise VAS scores,adverse reactions,or readmission rates(P>0.05);and the average hospital stay was(2.36±1.51)d in the day surgery group compared with(7.14±2.07)d in the conventional surgery group,with statistically significant difference(P<0.05).There was statistically significant difference in the hospitalization cost[(30 100±7600)yuan vs.(38 500±12 100)yuan,P<0.05)].Conclusions The use of laryngeal mask general anesthesia combined with preop-erative retractor tube block in patients undergoing unicompartmental arthroplasty is a safe and feasible mode of day surgery.关键词
日间手术/单髁关节置换术/围手术期管理/可行性Key words
day surgery/unicompartmental knee arthroplasty/perioperative management/feasibility分类
医药卫生引用本文复制引用
刘玲静,李萌萌,刘洋,孙雨,解群,房晓燕..单髁关节置换术日间手术可行性分析——一项巢式病例对照研究[J].武警医学,2025,36(2):119-123,5.
