Isenberg S J, Apt L, Yamada S
Jules Stein Eye Institute, Department of Ophthalmology, UCLA School of Medicine 90024.
Ophthalmic Surg. 1990 Aug;21(8):540-3.
The trend to outpatient strabismus surgery prompted us to determine the frequency of, and the reasons for, postoperative overnight hospital admission following such surgery. In one year, 303 outpatient strabotomies were performed at the Jules Stein Eye Institute on patients over 15 months old. Twenty-four (7.9%) were admitted overnight postoperatively. Compared with controls, those admitted were older (37 vs 20.5 years), and had a longer duration of anesthesia (145 vs 116 minutes) and surgery (104 vs 75 minutes) (P less than .01 for each). The time that surgery commenced and the use of perioperative medications were not significant factors. The most frequent reasons for overnight admission were nausea (38%) despite prophylaxis and the use of bilateral patches (16%). To minimize postoperative admissions, better strategies should be developed to decrease the frequency of significant postoperative nausea, the duration of surgery and anesthesia, and, if possible, the use of bilateral patches.
门诊斜视手术的趋势促使我们确定此类手术后过夜住院的频率及原因。在一年时间里，朱尔斯·斯坦眼科研究所为15个月以上的患者进行了303例门诊斜视手术。其中24例（7.9%）术后过夜住院。与对照组相比，住院患者年龄更大（37岁对20.5岁），麻醉时间更长（145分钟对116分钟），手术时间更长（104分钟对75分钟）（每项P值均小于0.01）。手术开始时间和围手术期用药并非显著因素。过夜住院最常见的原因是尽管采取了预防措施且使用了双侧眼罩，但仍出现恶心（38%）。为尽量减少术后住院情况，应制定更好的策略以降低术后严重恶心的频率、缩短手术和麻醉时间，并尽可能减少双侧眼罩的使用。
