内镜下治疗结肠息肉在日间病房与住院病房中的回顾性病例对照研究

刘俐; 杨梅; 张另

doi:10.16016/j.1000-5404.201703077

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内镜下治疗结肠息肉在日间病房与住院病房中的回顾性病例对照研究

临床医学 | 更新时间：2026-01-09

- 内镜下治疗结肠息肉在日间病房与住院病房中的回顾性病例对照研究
- Endoscopic surgery for colorectal polyps between one-day ward and hospitalized ward: a retrospective case-control trail
- 第三军医大学学报 2017年39卷第18期页码：1832-1835
- 作者机构：
  
  400038 重庆，第三军医大学西南医院全军消化病研究所
- 作者简介：
  
  [ 刘俐，电话：（023）68773056，E-mail:1652155819@qq.com LIU Li, Tel: 86-23-68773056, E-mail: 1652155819@qq.com
- 基金信息：
- DOI：10.16016/j.1000-5404.201703077
  中图分类号： R181.32; R473.5;R574.62
- 收稿：2017-03-13，
  
  修回：2017-06-06，
  
  纸质出版：2017-09-30
- 稿件说明：
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刘俐, 杨梅, 张另. 内镜下治疗结肠息肉在日间病房与住院病房中的回顾性病例对照研究[J]. 第三军医大学学报, 2017,39(18):1832-1835.

Li LIU, Mei YANG, Ling ZHANG. Endoscopic surgery for colorectal polyps between one-day ward and hospitalized ward: a retrospective case-control trail[J]. Journal of Third Military Medical University, 2017, 39(18): 1832-1835.
刘俐, 杨梅, 张另. 内镜下治疗结肠息肉在日间病房与住院病房中的回顾性病例对照研究[J]. 第三军医大学学报, 2017,39(18):1832-1835. DOI： 10.16016/j.1000-5404.201703077.

Li LIU, Mei YANG, Ling ZHANG. Endoscopic surgery for colorectal polyps between one-day ward and hospitalized ward: a retrospective case-control trail[J]. Journal of Third Military Medical University, 2017, 39(18): 1832-1835. DOI： 10.16016/j.1000-5404.201703077.

摘要

目的

对比结肠息肉患者在日间病房与住院病房中的治疗效果、患者满意度差别。

方法

收集我科2013年10月至2014年9月日间病房结肠息肉（病灶≤1.0 cm）患者100例与住院病房同类患者100例，两组患者均行肠镜下治疗。采集两组患者临床基本信息，统计住院时间、住院费用、服务满意率、手术并发症发生率、院内感染发生率、局部复发率、完整切除率，并运用

检验及χ

检验对比。

结果

两组患者临床基本信息差异无统计学意义，日间病房组较普通病房组的住院时间、住院费用、院内感染率低，服务满意率高，差异有统计学意义（

0.01），两组患者病灶完整切除率、局部复发率、手术并发症发生率、院内感染率、术后局部复发率差异无统计学意义（

0.05）。

结论

日间手术病房模式较住院病房模式治疗效果无差别，但可降低院内感染率、治疗费用，缩短治疗周期，提高患者治疗获益程度。

Abstract

Objective

To compare the treatment outcome and satisfaction in the patients with colorectal polyps undergoing endoscopic surgery in one-day ward and hospitalized ward.

Methods

Two-hundred patients with colorectal polyps (≤1.0 cm) treated with endoscopic surgery in our institute from October 2013 to September 2014

were enrolled in this study. There were 100 patients in one-day ward and 100 patients in hospitalized ward. The cost length of hospital stay

rate of service satisfaction

surgical complications

nosocomial infection

local recurrence

complete resection were compared between the 2 groups of patients. Student's t test and

Chi

-square test were performed for comparison between the groups.

Results

There were no obvious differences in the baseline data between the 2 groups. The ambulatory surgery group had significantly shorter length of hospital stay

lower hospital costs and nosocomial infection

and higher satisfaction rate than the control group (

0.01). No differences were found in total resection rate

local recurrence

or postoperative complications (

0.05).

Conclusion

There is no significant difference in treatment outcome between the one-day ward and hospitalized ward in the patients with colorectal polyps undergoing endoscopic surgery. However

one-day ward has lower rate of nosocomial infection

less cost

shorter hospital stay

and thus more benefit for the patients.

关键词

Keywords

references

CORLEY D A, JENSEN C D, MARKS A R, et al. Adenoma detection rate and risk of colorectal cancer and death[J]. N Engl J Med, 2014, 370(14): 1298-1306. DOI:10.1056/NEJMoa1309086.

苏芳, 罗雁, 李宇琛, 等.结肠息肉临床和病理分析[J].中国实用医药, 2012, 7(27): 119-121. DOI: 10.3969/j.issn.1673-7555.2012.27.086.

SU F, LUO Y, LI Y C, et al. Clinical and pathological analysis of colonic polyps[J]. China Prac Med, 2012, 7(27): 119-121. DOI: 10.3969/j.issn.1673-7555.2012.27.086.

WINAWER S J, ZAUBER A G, O'BRIEN M J, et al. Randomized comparison of surveillance intervals after colonoscopic removal of newly diagnosed adenomatous polyps[J]. N Engl J Med, 1993, 328(13): 901-906. DOI: 10.1056/NEJM1993040 13281301.

黄启阳.消化道息肉的内镜治疗[J].中国医刊, 2009, 44(5): 7-9. DOI: 10.3969/j.issn.1008-1070.2009.05.003.

HUANG Q Y, Endoscopic treatment of gastrointestinal polyps[J]. Chin J Med, 2009, 44(5): 7-9, DOI: 10.3969/j.issn.1008-1070.2009.05.003.

苏鲁.中国消化内镜治疗水平现状[J].世界华人消化杂志, 2002, 10(3): 252-257. DOI: 10.3969/j.issn.1009-3079. 2002.03.002.

SU L. Progress in endoscopic treatment of digestive diseases in China[J]. World Chin J Digestol, 2002, 5(3): 252-257. DOI: 10.3969/j.issn.1009-3079. 2002.03.002.

刘小南, 俞德梁, 赵青川, 等.关于日间手术模式的研究及应用进展[J].医学与哲学, 2014, 35(4): 56-59.

LIU X N, YU D L, ZHAO Q C, et al. Study progress of ambulatory surgery[J]. Med Philos, 2014, 35(4): 56-59.

高解春, 杨佳泓, 刘军, 等.日间手术的内涵及适宜范围研究[J].中国医院, 2015, 19(4): 3-6. DOI: 10.3969/j.issn.1671-0592.2015.04.003.

GAO X C, YANG J H, LIU J, et al. Research on the connotation and adapting range of ambulatory surgery[J]. Chin Hosp, 2015, 19(4): 3-6. DOI: 10.3969/j.issn.1671-0592. 2015.04.003.

马洪升.日间医疗服务的展望[J].华西医学, 2016, 31(4): 601-602.

MA H S, The outlook of ambulatory care[J]. West China Med J, 2016, 31(4): 601-602.

HASSAN C, QUINTERO E, DUMONCEAU J M, et al. Post-polypectomy colonoscopy surveillance: european society of gastrointestinal endoscopy (ESGE) guideline[J]. Endoscopy, 2013, 45(10): 842-851. DOI: 10.1055/s-0033-1344548.

何菊芳, 徐玲芬.流程管理在护理工作中的实施和效果评价[J].医院管理论坛, 2012, 29(6): 40-42. DOI: 10.3969/j.issn.1671-9069.2012.06.015.

HE J F, XU L F. Application and effect assessment of process management in nursing[J]. Hosp Manag Forum, 2012, 29(6): 40-42. DOI: 10.3969/j.issn.1671-9069.2012.06. 015.

李杨.日间病房管理模式的新探索[J].现代医院管理杂志, 2012, 10(3): 75-76. DOI: 10.3969/j.issn.1672-4232.2012. 03.029.

LI Y. New probe into management mode in day wards[J]. Mod Hosp Manag, 2012, 10(3): 75-76. DOI: 10.3969/j.issn.1672-4232.2012.03.029.

凡国华, 徐兴祥, 林征, 等.两种日间病房管理模式及效果差异性的探讨[J].中国护理管理, 2015, 15(10): 1244-1247. DOI: 10.3969/j.issn.1672-1756.2015.10.025.

FAN G H, XU X X, LIN Z, et al. Comparison of two modes of day care ward in operation management and achiev-ement[J]. Chin Nurs Manag, 2015, 15(10): 1244-1247. DOI: 10.3969/j.issn.1672-1756. 2015.10.025.

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