麻醉安全与质控2025，Vol.7Issue(6)：462-466,5.DOI:10.3969/j.issn.2096-2681.2025.06.003
日间手术模式下老年患者经皮椎体后凸成形术的可行性研究
Feasibility study on percutaneous kyphoplasty for elderly patients in the ambulatory surgery mode
摘要
Abstract
Objective To investigate the safety and feasibility of percutaneous kyphoplasty(PKP)in the ambulatory surgery mode.Methods A retrospective analysis was performed,131 patients,with body mass index(BMI)＜30 kg/m2,of American Society of Anesthesiologists(ASA)physical status Ⅰ-Ⅲ,undergoing PKP in General Hospital of Northern Theater Command from January 2023 to January 2025 for osteoporotic vertebral compression fracture(OVCF).According to different hospitalization modes,the patients were divided into the inpatient management group(control group,n=69)and the day-case management group(day-case group,n=62).Patients in the control group were admitted to the orthopedic ward according to the ordinary inpatient process,while patients in the day-case group were admitted to the day-case ward according to the day-case surgery process:patients who met the day-case surgery criteria after being evaluated at the orthopedic outpatient department and the preoperative evaluation at the anesthesiology outpatient department before surgery.The operative time,hospital stay,hospital cost,visual analogue scale(VAS)score at 6,24 and 72 h after surgery,incidence of sleep disorders,score of Athens insomnia scale(AIS),postoperative complications and other indicators of patients in both groups were recorded.Results Both groups of operations were successfully completed.There was no significant difference in operation time,postoperative VAS score and postoperative complications between the two groups(P＞0.05).Compared with the control group,the length of hospitalization and hospitalization cost in the day-case group were significantly reduced,and the satisfaction was significantly increased in the day-case group,with statistical significance(P＜0.05).Compared with the control group,the sleep disorder score of the day-case group was significantly decreased at 24 and 72 h after surgery,with statistical significance(P＜0.05).Conclusion It is safe and feasible to conduct PKP in ambulatory surgery mode,which can significantly shorten the hospital stay of patients,reduce hospitalization costs,improve postoperative sleep disorders,enhance rapid recovery of patients and improve patient satisfaction.关键词
日间手术/经皮椎体后凸成形术/术后睡眠障碍/骨质疏松性脊柱压缩骨折/术后并发症Key words
daytime surgery/percutaneous kyphoplasty/postoperative sleep disorder/osteoporotic vertebral compression fracture/postoperative complications引用本文复制引用
谢宇飞,宋丹丹,崔小鹏..日间手术模式下老年患者经皮椎体后凸成形术的可行性研究[J].麻醉安全与质控,2025,7(6):462-466,5.基金项目
北部战区总医院自主科研项目(ZZKY2024075) （ZZKY2024075）
