日间手术围手术期风险管理与麻醉策略优化
Perioperative risk management and optimization of anesthesia strategies in day surgery
摘要
日间手术院内观察时间有限，患者恢复主要在院外进行，对围手术期风险管理提出更高要求。随着适应证拓展及高龄、慢性病患者增加，风险管理需覆盖患者筛选、麻醉与镇痛、血流动力学、术后症状控制及功能恢复。该文围绕日间手术围手术期风险特征和麻醉管理要点，重点讨论术前评估、术中麻醉管理、术后恢复监测及院外随访策略，以降低出院后风险，提高日间手术安全性和患者恢复质量。
Day surgery involves a limited period of in-hospital observation, with most recovery occurring after discharge, placing greater demands on perioperative risk management. As indications expand and more older adults and patients with chronic comorbidities undergo day surgery, risk management must encompass patient selection, anesthesia and analgesia, hemodynamic management, postoperative symptom control, and functional recovery. This article discusses the perioperative risk profile and key considerations for anesthetic management in day surgery, focusing on preoperative assessment, intraoperative anesthetic management, postoperative recovery monitoring, and postdischarge follow-up to reduce postdischarge risk and improve patient safety and the quality of recovery.
年，卷(期)：
2026, 106(40)
在线出版日期：
2026年11月3日
