生物骨科材料与临床研究2025，Vol.22Issue(2)：30-34,5.DOI:10.3969/j.issn.1672-5972.2025.02.006
日间手术在膝关节置换术中的实践:一项关于成本效益与术后疗效的研究
Daytime surgery in knee replacement:A study of cost-effectiveness and postoperative outcomes
摘要
Abstract
Objective To compare the early efficacy,cost-effectiveness,and safety of daytime surgery with traditional inpatient surgery for knee replacement by clinical data analysis.Methods A retrospective analysis was conducted on patients who underwent primary knee replacement for knee osteoarthritis at the Xi'an Honghui Hospital from June 2023 to December 2023.In this study,112 cases were daytime surgery patients and 444 cases were inpatients.Patient information was collected for statistical analysis,including general data,cases of failed day surgery,length of hospitalization,hospitalization costs,preoperative and postoperative 3-month visual analog scale pain scores(VAS)and Hospital for Special Surgery knee scores(HSS),as well as readmission rate within 90 days.Results A total of 5 patients who participated in daytime surgery were transferred to routine hospitalization treatment,with a failure rate of 4.3%.The preoperative waiting time,postoperative length of stay,and total hospital stay of patients were all significantly lower in daytime surgery group than in the routine inpatient group(P<0.05).Total hospital costs were significantly lower in the daytime surgery group than in the routine inpatient group,with an average savings of 4 247 yuan(P<0.05).In the short-term postoperative follow-up,there was no statistically significant difference in VAS and HSS scores between the two groups(P>0.05).The readmission rate was 1.8%in the daytime surgery group and 1.4%in the routine inpatient surgery group,with no statistically significant difference between the two groups(P>0.05).Conclusion Daytime knee replacement can shorten the hospital stay,reduce the inpatient medical costs for patients,and has consistent efficacy and safety compared with routine hospitalization for knee replacement.关键词
日间手术/膝关节置换/快速康复/成本效益/住院时间/关节功能Key words
Daytime surgery/Knee replacement/Enhanced recovery/Cost-effectiveness/Hospitalization time/Joint function分类
临床医学引用本文复制引用
文鹏飞,刘林,杨明义,杨鹏,南凯,张伪松,杨治,许鹏..日间手术在膝关节置换术中的实践:一项关于成本效益与术后疗效的研究[J].生物骨科材料与临床研究,2025,22(2):30-34,5.基金项目
西安市卫生健康委员会青年培育项目(2023qn17) （2023qn17）
陕西省重点研发计划项目社会发展领域(2023-YBSF-099) （2023-YBSF-099）
