Thomsen H, Angermann P, Backs S, Nielsen T
Ortopaedkirurgisk afdeling, Centralsygehuset i Naestved.
Ugeskr Laeger. 1991 Dec 2;153(49):3479-82.
A one year survey of the patients assessment of out-patient orthopaedic surgery in local anaesthesia is presented. The report is based upon questionnaires (including 15 items) of 529 operations performed on 495 patients. A large group of knee arthroscopies are included. We found that many orthopaedic operations, formerly treated as in-patient procedures could be carried out in the out-patient clinic with only a minimal complication rate. 77% of the patients experienced no problems other than pain in their home following the out-patient surgical procedure. Nearly 80% of the patients would choose out-patient surgery in case of a new identical operation. 30% of the patients found the administration of the local anaesthesia very painful and 41% experienced discomfort and pain following surgery. In addition, a brief analysis of the economical aspect is given. In conclusion, out-patient orthopaedic surgery is well accepted by the patients. The use of local anesthesia alone is not always sufficient and administration of an oral analgesic drug both before and after the surgical procedure is recommended.
本文呈现了一项针对患者对局部麻醉下门诊骨科手术评估的为期一年的调查。该报告基于对495名患者进行的529例手术的问卷调查（包括15个项目）。其中包括大量膝关节镜检查手术。我们发现，许多以前被视为住院治疗的骨科手术现在可以在门诊进行，且并发症发生率极低。77%的患者在门诊手术后回家仅经历了疼痛，没有其他问题。近80%的患者表示如果再次进行相同手术，会选择门诊手术。30%的患者认为局部麻醉的注射非常疼痛，41%的患者在手术后经历了不适和疼痛。此外，还对经济方面进行了简要分析。总之，门诊骨科手术很受患者欢迎。仅使用局部麻醉并不总是足够的，建议在手术前后都服用口服镇痛药。
