Application of Pain Management Based on Fast-track Surgery for Patients Undergoing Day Surgery of Laparoscopic Cholecystectomy_West China Medical Journal

Authors：

 LIZhi-chao , WANGYu , WANGXiao-cheng , LIUYang ,  MAHong-sheng

Department of Day Surgery Center, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

MAHong-sheng, Email: mahongsheng63@163.com

Keywords：

Fast-track surgery; Day surgery; Laparoscopic cholecystectomy; Pain management

DOI：

10.7507/1002-0179.20150230

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To explore the role of fast-track surgery (FTS) in day-case laparoscopic cholecystectomy (DLC) pain management. Methods We used bidirectional cohort study to investigate the patients undergoing day surgery of laparoscopic cholecystectomy admitted into our department. A total of 143 patients between April and September 2014 receiving routine pain management were chosen to be the control group, and 78 patients between October 2014 and January 2015 receiving FTS pain management were regarded as the FTS group. Postoperative pain, early ambulation, influence of pain on the sleep, patients' satisfaction and prolonged hospital stay rate were compared between the two groups. Results Pain scores of patients in the FTS group 0-0.5, 0.5-6, 6-12, and 12-24 hours after surgery were significantly lower than those in the control group (P<0.05). The proportion of patients with early postoperative ambulation and patients' satisfaction rate in the FTS group were significantly higher than the control group (P<0.05). Conclusion The FTS pain management model can effectively reduce patients' pain after DLC, accelerate patients' postoperative rehabilitation and increase patients' satisfaction.

Citation： LIZhi-chao, WANGYu, WANGXiao-cheng, LIUYang, MAHong-sheng. Application of Pain Management Based on Fast-track Surgery for Patients Undergoing Day Surgery of Laparoscopic Cholecystectomy. West China Medical Journal, 2015, 30(5): 804-807. doi: 10.7507/1002-0179.20150230 Copy

1.	Lombari P, Carlomagno N, Ricci G, et al. Laparoscopic cholecystectomy in day surgery[M]//Agresta F, Campanile FC, Vettoretton N. Laparoscopic cholecystectomy:an evidence-based guide. Switzerland:Springer International Publishing, 2014:131-139.
2.	Kavanagh T, Hu P, Minogue S. Daycase laparoscopic cholecystectomy:a prospective study of post-discharge pain, analgesic and antiemetic requirements[J]. Ir J Med Sci, 2008, 177(2):111-115.
3.	江志伟, 李宁, 黎介寿. 快速康复外科的概念及临床意义[J]. 中国实用外科杂志, 2007, 27(2):131-133.
4.	鲍杨, 贺广宝, 张丽峰, 等. 日间手术麻醉安全性探讨[J]. 医学与哲学, 2014, (8):86-87.
5.	戴燕, 彭小华. 快速康复理念在日间腹腔镜胆囊切除术中的应用[J]. 华西医学, 2011, 26(8):1234-1235.
6.	袁睆, 肖水源. 疼痛评估工具的临床应用[J]. 中国心理卫生杂志, 2013, 27(5):331-334.
7.	税章林, 石应康, 马洪升, 等. 日间手术定义、范畴在我国适用的探讨[J]. 中国卫生事业管理, 2011, 12(S1):63-65.
8.	Philip BK. Day care surgery:the United States model of health care[J]. Ambul Surg, 2012, 17(4):81-82.
9.	Ng L, Mercer-Jones M. Day case surgery guidelines[J]. Surgery (Oxford), 2014, 32(2):73-78.
10.	Segerdahl M, Warrén-Stomberg M, Rawal N, et al. Clinical practice and routines for day surgery in Sweden:results from a nation-wide survey[J]. Acta Anaesthesiologica Scandinavica, 2008, 52(1):117-124.
11.	李倩倩, 刘香弟. 疼痛患者自我管理概述[J]. 中国护理管理, 2012, 12(2):89-91.
12.	周红, 乔晓斐, 荚卫东, 等. 无痛病房规范化疼痛管理对肝癌患者术后疼痛控制的效果观察[J]. 实用肝脏病杂志, 2014(6):647-649.
13.	Schug SA, Chong C. Pain management after ambulatory surgery[J]. Curr Opin Anesthesiol, 2009, 22(6):738-743.
14.	Psaila J, Agrawal S, Fountain U, et al. Day-surgery laparoscopic cholecystectomy:factors influencing same-day discharge[J]. World J Surg, 2008, 32(1):76-81.
15.	Wilmore DW, Kehlet H. Recent advances:management of patients in fast track surgery[J]. Br Med J, 2001, 322(7284):473-476.
16.	马洪升, 余伟萍, 马庆鑫, 等. 日间手术医疗安全和病人感知调查与分析[J]. 中国医院管理, 2013, 33(2):38-39.

1. Lombari P, Carlomagno N, Ricci G, et al. Laparoscopic cholecystectomy in day surgery[M]//Agresta F, Campanile FC, Vettoretton N. Laparoscopic cholecystectomy:an evidence-based guide. Switzerland:Springer International Publishing, 2014:131-139.
2. Kavanagh T, Hu P, Minogue S. Daycase laparoscopic cholecystectomy:a prospective study of post-discharge pain, analgesic and antiemetic requirements[J]. Ir J Med Sci, 2008, 177(2):111-115.
3. 江志伟, 李宁, 黎介寿. 快速康复外科的概念及临床意义[J]. 中国实用外科杂志, 2007, 27(2):131-133.
4. 鲍杨, 贺广宝, 张丽峰, 等. 日间手术麻醉安全性探讨[J]. 医学与哲学, 2014, (8):86-87.
5. 戴燕, 彭小华. 快速康复理念在日间腹腔镜胆囊切除术中的应用[J]. 华西医学, 2011, 26(8):1234-1235.
6. 袁睆, 肖水源. 疼痛评估工具的临床应用[J]. 中国心理卫生杂志, 2013, 27(5):331-334.
7. 税章林, 石应康, 马洪升, 等. 日间手术定义、范畴在我国适用的探讨[J]. 中国卫生事业管理, 2011, 12(S1):63-65.
8. Philip BK. Day care surgery:the United States model of health care[J]. Ambul Surg, 2012, 17(4):81-82.
9. Ng L, Mercer-Jones M. Day case surgery guidelines[J]. Surgery (Oxford), 2014, 32(2):73-78.
10. Segerdahl M, Warrén-Stomberg M, Rawal N, et al. Clinical practice and routines for day surgery in Sweden:results from a nation-wide survey[J]. Acta Anaesthesiologica Scandinavica, 2008, 52(1):117-124.
11. 李倩倩, 刘香弟. 疼痛患者自我管理概述[J]. 中国护理管理, 2012, 12(2):89-91.
12. 周红, 乔晓斐, 荚卫东, 等. 无痛病房规范化疼痛管理对肝癌患者术后疼痛控制的效果观察[J]. 实用肝脏病杂志, 2014(6):647-649.
13. Schug SA, Chong C. Pain management after ambulatory surgery[J]. Curr Opin Anesthesiol, 2009, 22(6):738-743.
14. Psaila J, Agrawal S, Fountain U, et al. Day-surgery laparoscopic cholecystectomy:factors influencing same-day discharge[J]. World J Surg, 2008, 32(1):76-81.
15. Wilmore DW, Kehlet H. Recent advances:management of patients in fast track surgery[J]. Br Med J, 2001, 322(7284):473-476.
16. 马洪升, 余伟萍, 马庆鑫, 等. 日间手术医疗安全和病人感知调查与分析[J]. 中国医院管理, 2013, 33(2):38-39.

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West China Medical Journal

Application of Pain Management Based on Fast-track Surgery for Patients Undergoing Day Surgery of Laparoscopic Cholecystectomy

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