Murthy P, McKerrow W S
Department of Otolaryngology, Raigmore Hospital, NHS Trust, Inverness, UK.
Postgrad Med J. 1996 Jan;72(843):37-40. doi: 10.1136/pgmj.72.843.37.
The study objective was to assess the value of outpatient follow-up of patients who undergo routine uncomplicated nasal surgery. A total of 177 postoperative patients (117 males, 60 females) undergoing routine nasal surgery at the Raigmore Hospital, Inverness, was selected over a six-month period, 92 of whom (60 males, 32 females) were requested to return to the clinic for a follow-up session. A total of 72 (78.3%) patients attended for post-operative review. Of these, 55 patients (76.4%) had achieved a satisfactory result from surgery and 17 (23.6%) required additional treatment for persistent problems. The former group were pleased with the outcome of their operation and required no further treatment. Of the 25 patients who were prescribed medication at the time of discharge from hospital, 19 (76.0%) were still complying with the medication and required no further specialist assistance. The results suggest that routine follow-up of uncomplicated cases of nasal surgery is unnecessary. The good therapeutic results in the majority of cases indicate a need to decrease the number of routine reviews to reduce the high non-attendance rate and increase the proportion of new patients seen at outpatient clinics. The role played by general practitioners is vital to this cause. This would include minor postoperative care, monitoring of prescribed medication and review of patients with occasional postoperative problems.
本研究的目的是评估接受常规非复杂性鼻腔手术患者的门诊随访价值。在六个月的时间里，从因弗内斯拉伊格莫尔医院选取了177例接受常规鼻腔手术的术后患者（117例男性，60例女性），其中92例（60例男性，32例女性）被要求返回诊所进行随访。共有72例（78.3%）患者前来进行术后复查。其中，55例患者（76.4%）手术结果令人满意，17例（23.6%）因持续性问题需要进一步治疗。前一组患者对手术结果满意，无需进一步治疗。在出院时开具药物处方的25例患者中，19例（76.0%）仍在遵医嘱服药，无需进一步的专科协助。结果表明，对非复杂性鼻腔手术病例进行常规随访是不必要的。大多数病例良好的治疗效果表明，需要减少常规复查的次数，以降低高失访率，并增加门诊新患者的比例。全科医生所起的作用对这一目标至关重要。这将包括术后小护理、对所开药物的监测以及对偶尔出现术后问题患者的复查。
