ISSN 1004-6879

CN 13-1154/R

 

承德医学院学报 ›› 2020, Vol. 37 ›› Issue (6): 465-468.

• 基础医学 • 上一篇    下一篇

江门五邑地区乳腺良性肿瘤日间切除的应用研究

关健华, 张俊琳, 谭银欢, 李伟文, 林启谋   

  1. 江门市中心医院甲状腺乳腺外科,广东江门 529000
  • 收稿日期:2020-03-28 出版日期:2020-12-10 发布日期:2021-11-22

Application of Daytime Operation in Breast Benign Tumor Resection in Jiangmen Wuyi District

GUAN Jian-hua, ZHANG Jun-lin, TAN Yin-huan, LI Wei-wen, LIN Qi-mou   

  1. Jiangmen Central Hospital, Thyroid and breast surgery department, Guangdong Jiangmen, 529000
  • Received:2020-03-28 Online:2020-12-10 Published:2021-11-22

摘要: 目的 探讨江门五邑纳入医保支付后,本地区医保患者按照日间手术流程接受乳腺良性肿瘤切除的应用效果。方法 选取2019年1月~2019年12月在我院行乳腺良性肿瘤切除术的160例患者为研究对象,以2019年6月30日为时间节点将其分成观察组和对照组,各80例。对照组采取常规住院手术流程,72h内出院;观察组采取日间手术流程,门诊术前检查,预约行乳腺良性肿瘤切除术,观察术后并发症,24h内出院。比较两组患者的住院时间,住院费用,手术时间和切除肿瘤个数以及术后并发症,患者满意度等指标。结果 观察组住院时间显著缩短,住院费用明显降低,患者满意度较高,差异具有统计学意义(P<0.05);比较两组患者的手术时间和切除肿瘤个数以及术后并发症,差异无统计学意义(P>0.05)。结论 江门五邑地区医保患者,日间手术流程在乳腺良性肿瘤切除术中的应用,能有效缩短住院时间,提高科室床位周转率,节约医保费用支出,提升患者满意度,在临床上具有推广价值。

关键词: 乳腺肿瘤, 良性肿瘤, 医保, 日间手术

Abstract: Objective To explore the application effect of day surgery for breast benign tumor resection after medical insurance payment in Wuyi, Jiangmen. Methods From January 2019 to December 2019, 160 patients who underwent breast benign tumor resection in Jiangmen Central Hospital were selected as the research objects. Taking June 30, 2019 as the time node, patients were divided into observation group and control group, 80 cases in each group. The control group adopted the routine in-hospital operation process and discharged within 72 hours. The observation group adopted daytime operation process, outpatient preoperative examination, appointment for breast benign tumor resection and observation operation. The patients were discharged within 24 hours. The hospitalization time, hospitalization cost, operation time, number of tumor resection, postoperative complications and patient satisfaction were compared between the two groups. Results The length of stay in the observation group was significantly shortened, the cost of stay in the observation group was significantly reduced, and patients' satisfaction was higher, the difference was statistically significant (P<0.05). There were no significant differences between the two groups in terms of operation time, number of tumor resection and postoperative complications (P>0.05). Conclusion In Wuyi area of Jiangmen, the application of daytime operation process in breast benign tumor resection can effectively shorten the length of stay, improve the turnover rate of beds in the department, save the cost of medical insurance, and improve the satisfaction of patients, which has a good promotion value in clinical practice.

Key words: breast tumor, benign tumor, medical insurance, daytime operation

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