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Objective To analyze and discuss the safety and feasibility of ambulatory laparoscopic cholecystectomy ( ALC) based on the surgical situation of gallbladder resection patients in Qujing, Yunnan. Methods A retrospective analysis was conducted on 77 patients who underwent laparoscopic cholecystectomy at the First People's Hospital of Qujing City from September 2019 to October 2020. Based on the different treatment methods, the 77 patients were divided into the ALC group (n = 38) and the traditional laparoscopic cholecystectomy (TLC) group (n = 39), and comparisons were made on the general preoperative conditions, surgical safety, health economics, and satisfaction indicators of the two groups. Results There were no statistically significant differences between the two groups of patients in terms of medical history, gender, age, surgery time, intraoperative bleeding, postoperative complications, and postoperative satisfaction (P > 0.05) . The differences in preoperative waiting time, length of hospital stay, and hospital costs were statistically significant between the two groups (P < 0.05), with the ALC group showing a significant reduction in preoperative waiting time and hospital stay compared to the TLC group, and a significant decrease in surgical costs compared to the TLC group. Conclusion Precise minimally invasive surgical procedures combined with continuous postoperative care services, multi-modal pain management concepts, and fast recovery concepts in perioperative management can significantly shorten the preoperative and hospital stay duration, reduce hospital costs, and avoid an increase in postoperative complications. Therefore, ALC is practical, safe, effective, and beneficial to patients and regional medical resources. It can be implemented in combination with the actual situation in different regions. [ABSTRACT FROM AUTHOR]

This article systematically elaborates on the origin and development of natural orifice specimen extraction surgery (NOSES) in the treatment of colorectal tumors. By analyzing several retrospective studies, we summarize the scientific basis, feasibility, and clinical advantages of applying NOSES in the treatment of colorectal tumors. Additionally, the article points out certain limitations in terms of operational techniques and the selection of indications for NOSES, which require continuous optimization and improvement. Advancements in technology have enabled NOSES to become increasingly integrated with new technologies. Accordingly, its application prospects in colorectal surgery and across multiple disciplines are broadened. [ABSTRACT FROM AUTHOR]

Objective To investigates the effect of forward extension and backward extension service on the discharge readiness of patients undergoing ophthalmic day surgery, aiming to ensure their safety after discharge and provide a reference for developing post-discharge care plans for ophthalmic day surgery patients. Methods A total of 136 patients who underwent ophthalmic day surgery at a hospital from May to August 2023 were selected. Among them a total of 71 patients who underwent surgery and participated in the survey in May and June were assigned to the control group, while 65 patients who underwent surgery and participated in the survey in July and August were assigned to the observation group. In addition to routine discharge instructions, the observation group received forward extension and backward extension service. The discharge readiness and satisfaction of patients in both groups were compared. Results In terms of discharge readiness, preparedness for self-condition, preparedness for disease knowledge, preparedness for post-discharge coping ability, and preparedness for social support, the patients in the observation group showed significant improvement compared to the control group, with statistically significant differences (P<0.05). The observation group also exhibited significantly higher satisfaction levels in terms of health education and nursing work, with statistically significant differences (P<0.05). Conclusion Forward extension and backward extension service can significantly improve the discharge readiness and satisfaction of patients undergoing ophthalmic day surgery. [ABSTRACT FROM AUTHOR]

Objective To explore the effectiveness of failure mode and effect analysis (FMEA) combined with risk assessment tracking in the management of arthroscopic day surgery instruments. Methods To conduct FMEA for each link of arthroscopic day surgery instruments management process, select the failure mode of priority risk value (RPN)> 125, conduct cause analysis, and formulate improvement measures from the aspects of device information tracking, standardized equipment, fine management, and implement risk assessment tracking management. The RPN value, maintenance rate of surgery instruments, accuracy qualification rate of surgical instruments and turnover time of emergency instruments were measured for effectiveness analysis. Results Five major failure modes were determined by FMEA activity, the priority risk values of all major failure modes decreased after activity than before implementation, with a significant difference(P

Objective: To explore the feasibility and safety of focused ultrasound ablation surgery for uterine fibroids under daytime surgical mode. Methods: Patients with uterine fibroids admitted to our hospital from January 2020 to December 2022 were selected as the research subjects. Based on the informed consent of the patients, they were randomly divided into observation group A, observation group B, and control group using a random number table method. Each group had 25 cases. The control group was treated with laparoscopic myomectomy, while the observation group A was treated with conventional hospitalization mode focused ultrasound ablation surgery, while the observation group B was treated with daytime surgery mode. Compare the treatment effectiveness of three groups of patients for uterine fibroids, including surgical time, hospital stay, postoperative VAS score, postoperative autonomous activity time, and treatment cost. Compare the incidence of postoperative adverse reactions among the three groups of patients. Finally, conduct outpatient follow-up at 3 months after surgery for all patients, evaluate the symptoms of uterine fibroids through symptom severity (SSS) score, and measure the volume of uterine fibroids through MRI imaging examination, Evaluate the quality of life of two groups of patients using the Comprehensive Quality of Life Assessment Questionnaire 74 (GQOLI-74). Results: The total effective rate of the control group was 100.00%, the observation group A was 96.00%, and the observation group B was 96.00%. There was no difference in the total effective rate among the three groups (P>0.05); There was no difference in surgical time between the three groups of patients (P>0.05). The hospitalization time, postoperative VAS score, postoperative autonomous activity time, and treatment cost of observation group B and observation group A were lower than those of the control group, and the hospitalization time and treatment cost of observation group B were lower than those of observation group A (P<0.05); The incidence of postoperative adverse reactions in Group A and Group B was lower than that in the control group (P<0.05), and there was no difference between Group A and Group B (P>0.05); There was no difference in preoperative SSS score, uterine fibroid volume, and GQOLI-74 dimension average score among the three groups of patients (P>0.05). After surgery, the SSS score and uterine fibroid volume of the three groups of patients decreased, while the GQOLI-74 dimension average score increased (P<0.05). However, there was no difference between the three groups of patients (P>0.05). Conclusion: Focused ultrasound ablation surgery has a significant therapeutic effect on uterine fibroids, and its therapeutic effect is not significantly different from laparoscopic myomectomy. However, it can reduce surgical trauma, shorten hospitalization time, and reduce postoperative pain for patients. Adopting daytime surgery mode focused ultrasound ablation surgery for uterine fibroids can further shorten patient hospitalization time, reduce surgical costs, and have high safety, There is no significant adverse effect on the prognosis of patients, and the feasibility is high. [ABSTRACT FROM AUTHOR]

Objective To determine risk factors of postoperative pulmonary complications within 1 month in patients undergoing thoracic surgery in Day Care Unit. Methods The total of 200 patients routinely scheduled for VATS under centralized management were enrolled in this study. On the postoperative day 1， lung ultrasound （LUS） was conducted by one physician in the ward. The patients received at least once Chest X⁃ray or CT in outpatient department within 30 days after discharge. The composite of out⁃of⁃hospital PPCs， and the value of LUSS in predicting the PPCs was appraised. Furthermore， we identified the perioperative risk factors associated with PPCs in VATS patients. Results Of 200 recruited VATS patients eligible in the Nanjing Drum Tower Hospital，188 participants received LUS examination and finally completed the 30 days follow⁃up. Of whom，68 patients developed the varied types of PPCs. Multivariable Logistic regression analysis indicated that comorbidity of immune system disease（P = 0.021）， lobar resection （P = 0.031） and the postoperative 24 hours LUSS （P = 0.002） were independent risk factors for PPCs within 30 days after VATS. Conclusion Comorbidity of immune system disease ，lobar resection and the postoperative 24 h LUSS were independent risk factors for PPCs within 30 days after VATS。 [ABSTRACT FROM AUTHOR]

Objective To systematically evaluate the effect of accelerated rehabilitation nursing on reducing postoperative complications in children undergoing day surgery by searching domestic literature.Methods PubMed, CNKI,Wanfang and other databases were searched for literatures related to accelerated rehabilitation nursing in children′s day surgery mode from the establishment of the database to June 2022.The full text and its references were carefully read and judged to determine the included studies.After extracting the data, RevMan5.3 was used for meta-analysis.Results A total of 2 059 cases were included in the six studies, including 979 cases of accelerated rehabilitation nursing and 1 080 cases of routine nursing.Compared with the postoperative complications, there were significant differences in the postoperative recovery time [odds ratio（OR）=-8.62,95%CI-9.50--7.73,P＜0.000 01],the incidence of postoperative nausea and vomiting（OR=0.26,95%CI 0.14-0.48,P＜0.000 01） and fever（OR=0.47,95%CI 0.25-0.91,P=0.02）.Conclusion The application of accelerated rehabilitation nursing in children′s day surgery has significant advantages in early postoperative recovery, reducing the incidence of postoperative nausea and vomiting and postoperative fever. [ABSTRACT FROM AUTHOR]

Objective To investigate the effect of FOCUS-PDCA management mode in standardizing medication of ophthalmic drugs in patients undergoing ambulatory eye surgery, and provide reference for continuous improvement of the nursing quality of ambulatory eye surgery. Methods A non-concurrent control trial was conducted, and patients undergoing ambulatory eye surgery were assigned to the control group (n=146)and the observation group (n=154). The control group received routing nursing management during operation period. The FOCUS-PDCA management mode was adopted in standardizing medication of ophthalmic drugs for patients in the observation group. The rate of qualified self-medication of ophthalmic drugs, awareness and knowledge about ophthalmic drugs and patient satisfaction were measured and compared between groups. Results The rates of proper storage of ophthalmic drugs, proper administration time of ophthalmic drugs and qualified self-medication of ophthalmic drugs in the observation group were higher than those in the control group (P

The concept of day-case surgery was first proposed by British surgeon Nicoll, referring to the surgery or procedure in which a patient completes admission and discharge within one day (24 h). In recent years, China has gradually implemented the day-case mode of laparoscopic cholecystectomy. Day-case laparoscopic cholecystectomy could significantly shorten hospital stay, reduce hospital infections, accelerate patient recovery, improve the efficiency of medical resource utilization, and reduce medical costs. In order to provide reference for exploring and developing standardized day-case laparoscopic cholecystectomy and promote the standardized application and promotion of day-case laparoscopic cholecystectomy, the Minimally Invasive Surgery Committee of the Chinese Research Hospital Association organized experts from surgery, anesthesia, and nursing to develop this expert consensus. [ABSTRACT FROM AUTHOR]

Objective To investigate the effect of forward-backward nursing model combined with multimedia-based health education in patient with diabetic cataract during ambulatory surgery. Methods Totally 80 patient with diabetic cataract who received ambulatory surgery were randomly divided into the observation group and control group, with 40 cases in each group. All patients received routine care during ambulatory surgery, and those in the observation group was given forward-backward nursing model combined with Multimedia-based health education. Self-rating Anxiety Scale (SAS) was used to evaluate the anxiety status of the patient. Postoperative complications such as corneal edema, increased intraocular pressure and incision infection were observed, and patient satisfaction was measured and compared between two groups. Results The SAS score decreased in both two groups after intervention, and SAS score in the observation group was lower than that in the control group (P＜0. 05). The total rate of postoperative complication in the observation group was lower than that in the control group (7. 50% vs. 22. 50%, P＜0. 05). The score of satisfaction assessment in the observation group was higher than that in the control group (P＜0. 01). Conclusion Forward-backward nursing model combined with Multimedia-based health education is effective to relieve the anxiety status of patients who received ambulatory surgery, improve disease awareness, reduce the risk of postoperative complications and improve patient stats action with nursing service. (目的 探讨前移后延护理模式联合多媒体健康宣教在糖尿病性白内障日间手术患者中的应用效果。方法 选取科室收治的行日间手术的糖尿病性白内障患者80例为研究对象, 随机分为观察组40例与对照组40例。对照组实施护理常规, 观察组在对照组基础上给予前移后延护理模式联合多媒体健康宣教。采用焦虑自评量表(SAS)评估患者焦虑程度, 记录术后角膜水肿、眼压升高、切口感染等并发症的发生情况, 评估患者满意度。结果 干预后, 两组SAS评分均较干预前下降, 且观察组SAS评分低于对照组, 差异有统计学意义(P＜0. 05); 观察组并发症总发生率7. 50%(3/40), 低于对照组的22. 50%(9/40), 差异有统计学意义(P＜0. 05)。观察组护理满意度评分高于对照组, 差异有统计学意义(P＜0. 01)。结论 前移后延护理模式联合多媒体健康宣教能有效缓解糖尿病性白内障日间手术患者的焦虑情绪, 提升疾病知识的掌握程度, 降低术后并发症的发生风险, 提高患者对护理工作的满意度。)

Copyright of Journal of Clinical Nursing in Practice is the property of Journal of Clinical Nursing in Practice (Editorial Board, Shanghai Jiao Tong University Press) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Clinical Nursing in Practice is the property of Journal of Clinical Nursing in Practice (Editorial Board, Shanghai Jiao Tong University Press) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Clinical Nursing in Practice is the property of Journal of Clinical Nursing in Practice (Editorial Board, Shanghai Jiao Tong University Press) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Clinical Nursing in Practice is the property of Journal of Clinical Nursing in Practice (Editorial Board, Shanghai Jiao Tong University Press) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Ambulatory laparoscopic cholecystectomy（ALC） is one of the most important day surgery at home and abroad.Compared with traditional inpatient surgery, ALC has higher requirements for medical safety, postoperative rehabilitation speed and postoperative rehabilitation quality.Medical safety is an important indicator to evaluate the quality of day surgery, and it is necessary for nurses in charge of the day surgery ward to change traditional concepts, reserve professional knowledge and improve nursing strategies.This paper reviewed the development status and nursing strategies of ALC in order to provide reference for nurses in charge of the day surgery ward. [ABSTRACT FROM AUTHOR]

Objective To explore the status quo of the parents' discharge readiness of children patients with day surgery, and to analyze its influencing factors to provide the theoretical basis for targeted nursing measures. Methods The convenience sampling method was used to investigate the parents of 300 children patients selecting day surgery in the Affiliated Children's Hospital of Chongqing Medical University from September to November 2021. The general information questionnaire and discharge readiness scale were used to investigate the study subjects, and the scores of discharge readiness and the influencing factors were analyzed. Results The total score of discharge readiness in the study subjects was (234. 59±31. 09) points. The standardized scores of each dimension were ranked from high to low: expectancy support (8. 65±1. 33) points, coping ability (8. 48±1.29)points, knowledge state (8.19±1.40)points, parents' personal state (7. 77±1. 33) points, and children's personal state (7. 75±1.20) points. The results showed that the presence or absence of underlying diseases and incarceration history of inguinal hernia were the influencing factors affecting the parents' discharge readiness (P <0. 05). Conclusion The discharge readiness in the parents of children patients with day surgery were above average level. The medical staff should do well in the targeted guidance and extended care before discharge to enhance the parents' confidence in discharge and improve their discharge preparation level. [ABSTRACT FROM AUTHOR]

Copyright of Practical Pharmacy & Clinical Remedies is the property of Editorial Department of Practical Pharmacy & Clinical Remedies and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Clinical Nursing in Practice is the property of Journal of Clinical Nursing in Practice (Editorial Board, Shanghai Jiao Tong University Press) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective To construct a standardized follow-up management program for day-surgery percutaneous nephrolithotomy (hereinafter referred to as the “program”） in order to standardize the discharge follow-up of this type of surgery. Methods The construction group of the program was established, the program was preliminarily determined through literature search and group discussion, and the Delphi method was used to conduct two rounds of expert letter consultation to determine the final program. Results The final version of the program includes 44 specific implementation items, covering 7 topics:follow-up plan, overall status assessment, diet, diet and water management, activity and urination management, wound and symptom management, drainage tube management, medication evaluation and health education. The positive coefficients of the experts in the 2 rounds were 86. 36% and 95. 45%, the authority coefficients were 0. 912 and 0. 901, and the Kendall’s W were 0. 216 and 0. 317. Conclusion The program constructed in this study has a high degree of expert positive coefficient and authority, and expert opinions tend to be consistent. The program clarifies the specific follow-up personnel, content and frequency, which can help the clinical follow-up practice of medical staff. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Clinical Nursing in Practice is the property of Journal of Clinical Nursing in Practice (Editorial Board, Shanghai Jiao Tong University Press) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: To investigate the health literacy level of day surgery patients by developing and constructing a health literacy assessment tool, and to analyze the impact of health literacy level of day surgery patients on early postoperative rehabilitation. Methods Nutbeam’s health literacy theory was used as the research framework and the initial item pool was constructed on the basis of literature review and referring to the existing evaluation scales. Through the 2 rounds of Delphi expert letter consultation, the initial scale was formed. Twenty patients with day surgery were randomly selected for a small sample pre-experiment, and the scale items were further revised to form the clinical test version of the scale. From April to September 2021, 264 patients were selected from the day operating rooms of 5 top hospitals in Kunming to investigate the health literacy and early postoperative rehabilitation quality and analyze the status and influencing factors of the two variables. Results The final version of "health literacy assessment tool of day surgery patients" developed in this study contained 3 dimensions and 24 items. The Cronbach’s α coefficient, half-fold reliability and content validity of the total scale were 0.944, 0.902 and 0.920 respectively. The exploratory factor analysis showed that the cumulative variance contribution rate was 66.37%, indicating that the scale has the excellent structure validity. Multiple linear regression analysis indicated that age, functional health literacy, interactive health literacy and critical health factors could explain 60.4% variation (adjusted R2 = 0.583） in postoperative recovery quality of day surgery patients, and were important influencing factors in postoperative recovery quality of day surgery patients. Conclusion The health literacy scale for day surgery patients developed in this study has the good reliability and validity and is suitable for the evaluation of related population. At the same time, the level of health literacy of day surgery patients is an important factor influencing the quality of early postoperative recovery. [ABSTRACT FROM AUTHOR]

To explore the mode and feasibility of ambulatory surgery (AS) for infantile hypertrophic pyloric stenosis (IHPS) during enhanced recovery after surgery (ERAS). Methods Retrospective analysis was performed for clinical data of 163 children hospitalized with infantile hypertrophic pyloric stenosis from January 2018 to December 2020. ERAS management model was adopted during perioperative period of IHPS since January 2018 and AS for IHPS since September 2019. Children admitted before September 2019 were designated as ERAS group and those after as ERAS + AS group. And children in ERAS group fulfilling the ambulatory surgery admission and discharge standards simultaneously at 15h post-operation were recorded as ERASI group and the remainders as ERAS2 group: Children in ERAS + AS group not completing ambulatory surgery mode were recorded as ERAS+AS 1 group while those not completing ambulatory surgery mode as ERAS + AS 2 group. The treatment-related clinical parameters and hospitalization expenses were recorded for exploring the feasibility of IHPS ambulatory surgery admission standards and models. Results All of them successfully completed transumbilical single-site laparoscopic pyloric myotomy. There was no conversion into laparotomy. Pyloric duct perforation was absent. Comparison of ERAS + AS 1 group and ERAS+ AS 2 group. operative age [(43.77 ± 15. 16) vs. (36.93±22.42) days), pre-admission course of disease [(15.59 ± 12,73) vs. (14.00 12.76) days) and frequency of vomiting within 1 week post-operation [(2.18±0.50) vs. (2.49 +0.59)). There was no significant inter-group difference (P>0.05); preoperative length of hospital stay [(11.64 +8.40) s. (52.07 31.40) hours),postoperative hospital stay [(18. 163.86) vs. (77.81 ±42.28) hours and hospitalization expense [(8 474. 16 +537.73) vs. (12 413,61 13 341.96) yuan]. The inter group differences were statistically significant (P <0.05); length of stay and hospitalization expense in day-to day surgery group were significantly lower than those in incomplete group. Comparing ERAS + AS 1 and ERAS I groups, frequency of vomiting within 1 week post-operation was [(2. 18±0.50) . (2.29 ± 0.60)]. There was no significant inter-group difference (P>0.05); preoperative length of hospitalization [(11.64 ±8.40) 15. (42.00 ± 16. 85) hours ], postoperative hospital stay [(18.16±3.86) s. (74.66 ± 14.02) hours and hospitalization expense [(8 474. 16 ±537.73) s. (12 891.76 ±3 181.31) yuan]. And inter-group difference was statistically significant (P<0.05). Conclusion Under the premise of mastering the admission standards of ambulatory surgery, AS for IHPS is both feasible and safe. It is worthy of further researches and explorations. [ABSTRACT FROM AUTHOR]

目的 观察阿芬太尼复合丙泊酚用于日间宫腔镜手术中的麻醉效果。方法 拟行妇科日间宫腔镜手术 的患者150例，随机分为阿芬太尼组、芬太尼组和舒芬太尼组，每组50例。三组均采用全凭静脉麻醉，麻醉诱导中阿 芬太尼组予阿芬太尼10 µg/kg 静脉注射30 s，然后丙泊酚2. 5～3. 0 µg/mL靶浓度控制输注；芬太尼组和舒芬太尼 组分别予芬太尼 2. 5 µg/kg、舒芬太尼 0. 25 µg/kg静脉注射 30 s，其余操作同阿芬太尼组。观察三组患者全凭静脉 麻醉时间、全凭静脉麻醉过程中丙泊酚用量、患者苏醒时间、术后疼痛及恶心呕吐（PONV）情况。观察三组患者麻 醉诱导前（T1）、麻醉诱导后 1 min（T2）、插入喉罩后（T3）、麻醉诱导后 5 min（T4）、麻醉诱导后 10 min（T5）的平均动 脉压（MAP）和心率（HR）变化，记录三组诱导期咳嗽、低血压、心动过缓等不良反应发生情况。结果 与芬太尼组、 舒芬太尼组比较，阿芬太尼组患者苏醒时间短（P 均<0. 05）；与舒芬太尼组比较，芬太尼组患者苏醒时间短（P< 0. 05）。与芬太尼组、舒芬太尼组比较，阿芬太尼组PONV发生率低（P均<0. 05）。与T1时比较，T2～T5时三组患者 MAP、HR均下降（P 均<0. 05）；与舒芬太尼组比较，T5 时阿芬太尼组患者 MAP 高（P<0. 05）。与芬太尼组、舒芬太 尼组比较，阿芬太尼组咳嗽发生率低（P 均<0. 05）。与芬太尼组比较，阿芬太尼组低血压发生率低（P<0. 05）。 结论 与芬太尼、舒芬太尼比较，阿芬太尼复合丙泊酚在日间宫腔镜手术麻醉中的应用效果较好，患者术中血流动 力学平稳，术后苏醒时间短，不良反应少。 [ABSTRACT FROM AUTHOR]

BACKGROUND: With the development of total knee arthroplasty and the application of the concept of enhanced recovery after surgery in total knee arthroplasty, patients with total knee arthroplasty now have lesser trauma, fewer bleeding, faster recovery and effectively shorten length of stay. Some patients can even be discharged on the same day of surgery. Outside China, many hospitals have carried out outpatient total knee arthroplasty in the Ambulatory Surgery Center. In China, the outpatient total knee arthroplasty is still in the exploratory stage, and there are relatively few reports about it. OBJECTIVE: To describe the development status and strategies of outpatient total knee arthroplasty by referring to the relevant literature of outpatient total knee arthroplasty, so as to provide some ideas for the implementation of outpatient total knee arthroplasty in China. METHODS: These articles of outpatient total knee arthroplasty from the inception of the database to September 2020 were retrieved from CNKI, Wanfang, PubMed and Web of Science databases by computer. The search words in Chinese and English were “total knee arthroplasty”, “total joint arthroplasty”, “arthroplasty, replacement, knee”, “outpatient”, “same-day discharge”, “ambulatory surgical procedures”. Finally, 61 articles were included to analyze the results. RESULTS AND CONCLUSION: (1) The proportion of outpatient total knee arthroplasty in foreign countries was rapidly growing each year. It is relatively safe to perform outpatient total knee arthroplasty on strictly selected patients and the incidence of postoperative complications and readmission was low. (2) At present, some domestic third-level grade-A hospitals have achieved that some patients are discharged on the first day after surgery, and even some patients can be discharged on the same day of surgery. (3) This means that there are certain conditions for carrying out outpatient total knee arthroplasty in China. [ABSTRACT FROM AUTHOR]

Copyright of Practical Pharmacy & Clinical Remedies is the property of Editorial Department of Practical Pharmacy & Clinical Remedies and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Practical Pharmacy & Clinical Remedies is the property of Editorial Department of Practical Pharmacy & Clinical Remedies and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective　To explore the feasibility and effectiveness of whole-course nursing management of intestinal polyp operation. Methods　A total of 86 cases of intestinal polyp patients who underwent day surgery in our hospital were selected as the experimental group, and 86 cases of intestinal polyp patients who had been admitted to our hospital during the same period for elective surgery were selected as the control group. The experimental group received the whole-course nursing management of day surgery，including the development of multidisciplinary and whole-course nursing management path of day surgery; multiple forms of day surgery education, such as brochures，lectures and WeChat platform. Results　The preoperative waiting time，length of hospital stay and direct medical expenses of the experimental group were all lower than those of the control group, with statistically significant differences (P < 0.001) . The patient satisfaction of the experimental group ( 98.8%) was higher than that of the control group (84.9%) ，with statistically significant differences (P = 0.001) . There was no statistically significant difference between the two groups in the rate of intestinal insufficiency and the incidence of postoperative complications (P > 0.05) . Conclusion　It is feasible and effective to carry out whole-course nursing management of intestinal polyp operation for day surgery patients, which can increase patient satisfaction and improve patient's medical experience. [ABSTRACT FROM AUTHOR]

Objective　To determine the influencing factors of the compliance of patients with diabetic cataract after discharge from day surgery through continuing motivational interviews. Methods　A total of 108 cases of patients with diabetic cataract surgery in the day were randomly selected from Renji Hospital Affiliated to Shanghai Jiaotong Nuiversity School of Medicine from January 2018 to January 2019， and were randomly divided into observation and control group. All patients accepted the hospital health education at the same time， and were continuously observed once a month for 6 months after discharge. The patients in the control group were reviewed about the health status and medication compliance， and were guided according to the review results. The patients in the observation group were treated by continuous motivated interview to understand the factors that affect the appointment compliance of patients after discharge， the application effect of continuous motivated interview was analyzed and the targeted continuous interview plan was formed. The nursing staffs were responsible for interview and health education. The follow-up compliance of patients in the two groups was compared. Results　The awareness rate was 77.77%（ 42/54） in the observation group and 38.89%（ 21/54） in the control group. The patients in the observation group had 74.07%，81.48 and 85.19% compliance at 1，3 and 6 months after discharge， while the patients in the control group had 38.89%，48.15 and 57.41% compliance at 1，3 and 6 months after discharge. The incidence of adverse reactions after discharge was 9.26% in the observation group and 37.04% in the control group， and the comparison between the groups was statistically significant（ P < 0.05） . Conclusions　Continuing motivational interview can significantly improve the compliance of diabetic cataract patients after discharge from day surgery， and continuous interview after discharge can ensure the quality of nursing at home and reduce the incidence of adverse reactions， which has a high clinical application value. [ABSTRACT FROM AUTHOR]

Objective To compare the clinical efficacy between lumbar disc herniation treated by spinal endoscope in ambulatory surgery mode and general hospitalization mode during the prevalence of the COVID-19. Methods The 100 patients with lumbar disc herniation treated by percutaneous endoscopic lumbar discectomy (PELD) with ambulatory surgery mode or general hospitalization mode were analyzed retrospectively. The operation time, blood loss, hospitalization time and hospitalization cost were compared between the two groups. Visual analogue scale (VAS), Oswestry disability index (ODI) and modified MacNab criteria were performed before surgery and 1 month after surgery in the two groups of patients. Results All the patients completed PELD surgery successfully. The hospitalization time and hospitalization cost were significantly lower in the ambulatory surgery mode than those of the general hospitalization mode (P＜0.05). The VAS and ODI scores were significantly improved after operation compared with those before operation in the two groups (P＜0.05). There were no significant differences in the VAS and ODI scores before and after the operation between the two groups of patients. The excellent and good rates of modified MacNab in the ambulatory surgery mode and general hospitalization mode were 91.7% and 92.0% respectively, and there was no significant difference between them (P＞0.05). Conclusion During the prevalence of the COVID-19, PELD in ambulatory surgery mode is safe, feasible and effective. It can reduce the hospitalization time and hospitalization cost, which is worthy of popularization and application. [ABSTRACT FROM AUTHOR]

Objective To explain the continuing care model based on the mini program andto explore the effect in patients undergoing arthroscopic surgery. Methods 882 patients undergoing arthroscopic surgery were divided into a control group (464) and an experimental group (418). The control group were given routine health education and follow-up management. The experimental group used the continuing care model based on mini program for follow-up management. Results Recent observation found that the limb swelling scores of the experimental group were better than those of the control group at 1 day， 3 days， and 7 days after operation. Pain scores of the experimental group were better than the control group at 3 and 7 days after operation (P＜0.05). Long-term observation found the joint activities of the experimental group were better than the control group at 1 month， 3 months and 6 months after operation. The muscle strength was better than the control group at 3 months and 6 months after surgery (P＜0.05). There was no significant difference in postoperative joint stiffness between the experimental group and the control group (P＞0.05) ．Conclusion Continuing care model based on mini program is conducive to promoting near-long-term rehabilitation of patients undergoing arthroscopic surgery. Continuating care model based on mini program has many advantages. It allows the same care for the patients when transferring between different health care departments and is an inevitable trend in the"Internet +" environment. [ABSTRACT FROM AUTHOR]

Copyright of China Journal of Oral & Maxillofacial Surgery is the property of Shanghai Jiao Tong University, College of Stomatology and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

观察“W+8字”缝合法在子宫颈冷刀锥切（CKC）日间手术中的疗效与安全性.方法 选取日间手 术行CKC的193例子宫颈高级别鳞状上皮内瘤变（HSIL）病例，其中切缘缝合以“W+8字”缝合法98例（观察组）、改 良Sturmdorf缝合法95例（对照组），两组年龄、孕次、产次、子宫颈切除高度及宽度、术后病理CIN Ⅱ和CIN Ⅲ构成比 等基线资料具有可比性，比较两组手术时间、术中出血量及术后出血量、出血天数、晚期出血比率、感染、子宫颈管粘 连狭窄情况.结果 两组手术时间、术中出血量比较差异无统计学意义，观察组术后出血量及出血天数均少于对照 组（P均<0. 01）.对照组术后3例因晚期出血而转普通病房处理，2例因感染予以静脉应用抗生素，2例发生子宫颈 管狭窄、粘连；观察组无感染、子宫颈管粘连狭窄病例.结论 CKC中应用“W+8字”缝合法安全可靠，且止血效果 更确切. [ABSTRACT FROM AUTHOR]

Copyright of China Journal of Oral & Maxillofacial Surgery is the property of Shanghai Jiao Tong University, College of Stomatology and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Enhanced recovery after surgery (ERAS) has been developing rapidly in recent years and has been widely applied in different specialty areas of surgery. With the sharply increased morbidity of thyroid tumors, patients' rehabilitation is gaining more attention. Numerous new techniques and new concepts are extensively used in thyroid surgery, thus effectively improving the refinement and safety of thyroid operation. A series of evidence of perioperative evidence-based medicine enhanced patients' recovery. Thyroid day surgery can be a future development direction with application of ERAS concept. [ABSTRACT FROM AUTHOR]

Objective To investigate the effects of propofol and sevoflurane on cognitive function and memory immediately after general anesthesia （GA） under laparoscopic cholecystectomy（LC） within 4 hours after surgery. Methods In a prospective double-blind randomized control study， 160 patients aged 18 to 60 years undergoing elective LC were randomly divided into two groups. Data analysis was done with California verbal learning test （CVLT），Digital span test （DST）， Rivermead behavioral memory test （RBMT），Mini-mental state examination （MMSE） score， and semantic memory test. Aldrete scoring system and visual pain simulation were used post-operatively. The level of statistical significance was set atP<0.05. Results There was no statistically significant difference in age， anaesthesia time and hemodynamics between the two groups （P>0.05） . Immediate cognitive and dominance memory after the propofol group was more affected. Results of most tests， such as semantic memory test，MMSE score， and DST， were significantly different between the two groups at 5 min， 1 h，and 2 h post-operatively（P<0.05），but there was no significant difference at 4 h（P>0.05）. There were no significant differences in RBMT between 2 hours and 4 hours after operation （P>0.05）， but CVLT values were statistically significant between groups even at 4h after surgery（P<0.05） . Conclusion Compared with immediate post-operative sevoflurane，propofol had a significant impact on cognitive functions， and sevoflurane anesthesia might be a better option in day surgeries. [ABSTRACT FROM AUTHOR]

目的 观察右美托咪定对老年患者腹腔镜胆囊切除日间手术后早期认知功能的改善作用，并初步探讨其 机制。方法 选取进行腹腔镜胆囊切除日间手术的患者59例，按随机数字表法分为观察组29例、对照组30例。两 组均采用静吸复合麻醉，观察组静脉泵注右美托咪定0.5µg/kg、15min泵完。分别于术前1d和术后24h进行简易 精神状态量表（MMSE）评分。分别于麻醉诱导前、术后6h及术后24h采用ELISA法检测血浆胰岛素样生长因子1 （IGF-1）和血清白细胞介素（IL） 6、 IL-1β、肿瘤坏死因子α（TNF-α）。结果 观察组术后MMSE评分高于对照组（P< 0.05）。两组术后6h外周血IGF-1低于麻醉诱导前， IL-1β、 IL-6水平高于麻醉诱导前，对照组术后6hTNF-α水平高 于麻醉诱导前；两组术后24h外周血IL-1β、 IL-6、TNF-α水平低于术后6h，对照组术后24hIGF-1水平高于术后6h （P均<0.05）。观察组术后6hIGF-1水平高于对照组（P<0.05）。结论 右美托咪定可改善老年患者腹腔镜胆囊切 除日间手术后早期认知功能，其作用机制可能与调节炎症因子水平有关。 [ABSTRACT FROM AUTHOR]

目的建立并评价基于微信平台的外套式剥脱大隐静脉日间手术患者术后管理模式的应用效果。方法 选择拟行外套式剥脱大隐静脉日间手术的患者212 例，将其随机分为对照组102 例和微信组1 10 例。对照组给 予电话随访为主的传统管理模式，微信组采用基于微信平台的新型管理模式。术后第7 天来院复诊时， 采用焦虑 自评量表评分( SAS)评价其焦虑情况，VAS 评价其疼痛程度， 以日间手术术后调查问卷调查患者满意度， 记录术后 并发症发生情况。结果与对照组比较，微信组SAS、VAS 降低而满意度评分升高( P 均< 0. 05 ) ； 微信组术后并发 症发生率为5.45% ，对照组为8. 82% ，两组比较P >0. 05。结论基于微信平台的外套式剥脱大隐静脉日间手术 术后管理模式能减少患者不良情绪，提高其满意度。 [ABSTRACT FROM AUTHOR]

Copyright of Nursing of Integrated Traditional Chinese & Western Medicine is the property of Journal of Clinical Nursing in Practice (Editorial Board, Shanghai Jiao Tong University Press) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of West China Journal of Stomatology is the property of Sichuan University, West China College of Stomatology and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective To investigate the clinical effects and validity of ultrasound-guided ilioinguinal/iliohypogastric nerve block ( IINB) combined with general anesthesia for inguinal hernia repair in pediatric ambulatory surgery .Methods Forty cases of 1 to 5-year-old inguinal hernia pediatric patients were randomly divided into the IINB group and ultra -sound-guided IINB group , and 20 cases in each group .Children from both groups were performed IINB under propofol gen-eral anesthesia , children in the IINB group with Schulte-Steinbery method , and children in the ultrasound-guided IINB group under the guidance of ultrasound .At the time of incision and ligation of hernia sac , the children′s body motion was observed, and the number of patients who were treated with additional bolus propofol was recorded .HR and mean arterial pressure ( MAP) were recorded before , at the end of the induction , at the end of the incision , immediately after the ligation of the hernia sac , and at the end of the surgery and recovery .The retention time in postanesthesia care unit ( PACU) was recorded .The number of cases of children with vomiting , puncture site hemorrhage or hematoma , local anesthetics into the blood or delayed awakening was recorded during the PACU period .The Eastern Ontario Children′s Hospital Pain Scale ( CHEOPS score ) was performed at the time of PACU .Results Body movement occurred in 12 cases during skin inci-sion, and 14 cases were treated with propofol in the IINB group , which were 5 and 6 cases respectively in the ultrasound-guided IINB group, and significant difference was found between them (P<0.05).At the skin incision, immediately after the ligation of the hernia sac , and at the end of the surgery and recovery , the HR was lower in the ultrasound-guided IINB group than that in the IINB group (P<0.05 or P<0.01).There were 2 cases of children with vomiting in PACU in both groups.There was no hemorrhage or hematoma of puncture site , local anesthetic toxicity and delayed awakening in all pa-tients.No difference was found in the length of stay in PACU between the two groups (P>0.05).The CHEOPS score of children when they left the PACU was (7.05 ±1.47) points in the the IINB group and (5.30 ±0.92) points in ultra-sound-guided IINB group , and significant difference was found between them ( P <0.01 ) .Conclusions Ultrasound-guided IINB combined general anesthesia can improve the effect of iliohypogastric and ilioinguinal nerve block in ambulatory inguinal hernia pediatric surgery .The vital signs are stable and the acute pain is relieved after operation . [ABSTRACT FROM AUTHOR]

目的 探讨乳腺良性肿瘤日间手术的临床疗效及社会经济意义。方法 选取齐鲁医院同一治疗小组手术治疗乳腺良性肿瘤患者311例,其中日间手术88例(观察组),择期手术223例(对照组),两组治疗前一般状况及肿瘤相关症状体征无差异,具有可比性。比较两组临床治疗效果、住院时间、住院费用、延期手术率等情况,分析乳腺良性肿瘤日间手术的可行性。结果 两组术后均恢复良好治愈出院,均无并发症发生。术前住院时间、术后住院时间、总住院时间观察组分别为(1.86±1.05)、(1.00±0.26)、(2.86±1.02)d,对照组分别为(5.46±2.33)、(1.92±1.04)、(7.38±2.51)d;直接住院费用、间接住院费用、总住院费用观察组分别为(1.03±1.21)、(0.06±0.02)、(1.09±0.12)万元,对照组分别为(1.19±0.67)、(0.16±0.05)、(1.35±0.68)万元。与对照组比较,观察组住院时间短、住院费用低,差异有统计学意义(P均<0.05)。观察组延期手术率(12.07%)低于对照组(51.74%),差异有统计学意义(P<0.05)。结论 乳腺良性肿瘤日间手术能缩短患者住院时间,降低住院费用,社会效益良好。 [ABSTRACT FROM AUTHOR]

目的分析日间外科病房患儿术后继发上呼吸道感染的影响因素，探索有效的防范措施。方法 选取2017 年1—12 月在该院日间外科病房接受手术后出现上呼吸道感染的患儿128 例（研究组），另随机选择同时段 住院术后无上呼吸道感染患儿131 例作为对照组。对照分析年龄、性别、所患疾病、体重、麻醉方式、手术时间、季节等因 素。结果患儿年龄小、体重轻、冬季手术是日间外科病房手术后患儿术后出现上呼吸道感染的影响因素；疾病种类、 麻醉方式、手术持续时间与术后出现上呼吸道感染无关。结论患儿在日间外科病房行手术治疗时，年龄偏小、体重偏 轻，以及在冬季手术术后更容易出现上呼吸道感染，应尽可能避免上述影响因素，降低术后出现上呼吸道感染的概率， 以利于患儿术后康复。 [ABSTRACT FROM AUTHOR]

目的比较曲马多、舒芬太尼分别与丙泊酚联合在宫腔镜手术静脉麻醉诱导中的应用效果。方法回顾2014年1月~2016年12月于我院接受宫腔镜日间手术的5 782例患者的临床资料。根据麻醉诱导用药分为采用曲马多联合丙泊酚的A组2 781例和采用舒芬太尼联合丙泊酚的B组3 001例。(1)比较两组丙泊酚总用量、手术时间及苏醒时间。(2)比较两组患者给药前、给药后1 min、给药后5 min的平均动脉压(MAP)、心率(HR)、呼吸频率(RR)、血氧分压(Sp O2)。(3)比较两组患者术中呼吸抑制、低血压、心动过缓及术中体动的发生情况。(4)比较两组术后不良反应发生情况及离院时间。结果 (1)A组丙泊酚总用量大于B组(P<0.05)。(2)与给药前相比, 两组患者给药后1、5 min的MAP、HR、RR均明显下降(P均<0.05), 且B组给药后1 min的MAP、HR、RR低于A组(P均<0.05)。(3)A组术中体动发生率高于B组(P<0.05), 呼吸抑制及低血压发生率均低于B组(P均<0.05)。(4)A组呼吸抑制发生率低于B组, 中重度疼痛发生率高于B组(P均<0.05), 术后呕吐发生率两组相比P>0.05。其余指标两组相比P均>0.05。结论舒芬太尼联合丙泊酚在宫腔镜手术麻醉诱导中的应用效果优于曲马多联合丙泊酚。 [ABSTRACT FROM AUTHOR]