护理与康复2026，Vol.25Issue(4)：1-6,6.DOI:10.3969/j.issn.1671-9875.2026.04.001
日间颈前路椎间盘切除融合术患者延迟出院的危险因素研究
Study on risk factors for delayed discharge in patients undergoing ambulatory anterior cervical discecto-my and fusion
摘要
Abstract
Objective To investigate the current status of delayed discharge in patients undergoing ambulatory anterior cervical discectomy and fusion(ACDF)and to analyze the risk factors.Methods A retrospective collection of clinical data was performed for patients underwent ambulatory ACDF at the First Affiliated Hospital of Zhejiang University School of Medicine from December 2021 to September 2024.Patients were divided into a normal discharge group(length of stay≤48 h)and a delayed discharge group(length of stay>48 h).Univariate analysis and multivariable logistic regression analy-sis were performed to identify the risk factors for delayed discharge.Results A total of 240 patients underwent ambulatory ACDF were enrolled in this study,including 32 patients with delayed discharge,yielding a delayed discharge rate of 13.33%.Univariate analysis showed that there were statistically significant differences between the two groups in age,sex,anesthesia recovery time,surgical segments,postoperative pain,anesthesia-related complications,and indwelling urinary catheterization(P<0.05).Multivariable logistic regression analysis showed that postoperative pain[OR=2.571,95%CI(1.479-4.470)],anesthesia-related complications[OR=5.308,95%CI(1.995-14.124)],and indwelling urinary cathe-terization[OR=4.914,95%CI(1.674-14.425)]were risk factors for postoperative delayed discharge in patients(P<0.05).Conclusion The severity of postoperative pain,the occurrence of anesthesia-related complications after surgery,and indwelling urinary catheterization are risk factors for delayed discharge in patients undergoing ambulatory ACDF.Clinical medical staff should pay close attention to high-risk populations,strengthen perioperative risk assessment and management,and formulate and implement systematic intervention protocols to reduce the incidence of delayed discharge.关键词
颈前路椎间盘切除融合术/日间手术/延迟出院/危险因素Key words
anterior cervical discectomy and fusion/ambulatory surgery/delayed discharge/risk factor分类
医药卫生引用本文复制引用
俞艳红,卢芳燕,赖丽莉,金永明,王硕,张素梅..日间颈前路椎间盘切除融合术患者延迟出院的危险因素研究[J].护理与康复,2026,25(4):1-6,6.基金项目
浙江省医药卫生科技计划项目,编号2024KY990 （）
