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

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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.	江志偉, 李寧, 黎介壽. 快速康復外科的概念及臨床意義[J]. 中國實用外科雜志, 2007, 27(2):131-133.
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6.	袁睆, 肖水源. 疼痛評估工具的臨床應用[J]. 中國心理衛生雜志, 2013, 27(5):331-334.
7.	稅章林, 石應康, 馬洪升, 等. 日間手術定義、范疇在我國適用的探討[J]. 中國衛生事業管理, 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, 劉香弟. 疼痛患者自我管理概述[J]. 中國護理管理, 2012, 12(2):89-91.
12.	周紅, 喬曉斐, 莢衛東, 等. 無痛病房規范化疼痛管理對肝癌患者術后疼痛控制的效果觀察[J]. 實用肝臟病雜志, 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.	馬洪升, 余偉萍, 馬慶鑫, 等. 日間手術醫療安全和病人感知調查與分析[J]. 中國醫院管理, 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. 江志偉, 李寧, 黎介壽. 快速康復外科的概念及臨床意義[J]. 中國實用外科雜志, 2007, 27(2):131-133.
4. 鮑楊, 賀廣寶, 張麗峰, 等. 日間手術麻醉安全性探討[J]. 醫學與哲學, 2014, (8):86-87.
5. 戴燕, 彭小華. 快速康復理念在日間腹腔鏡膽囊切除術中的應用[J]. 華西醫學, 2011, 26(8):1234-1235.
6. 袁睆, 肖水源. 疼痛評估工具的臨床應用[J]. 中國心理衛生雜志, 2013, 27(5):331-334.
7. 稅章林, 石應康, 馬洪升, 等. 日間手術定義、范疇在我國適用的探討[J]. 中國衛生事業管理, 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, 劉香弟. 疼痛患者自我管理概述[J]. 中國護理管理, 2012, 12(2):89-91.
12. 周紅, 喬曉斐, 莢衛東, 等. 無痛病房規范化疼痛管理對肝癌患者術后疼痛控制的效果觀察[J]. 實用肝臟病雜志, 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. 馬洪升, 余偉萍, 馬慶鑫, 等. 日間手術醫療安全和病人感知調查與分析[J]. 中國醫院管理, 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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