在视频辅助胸腔镜手术期间自发对机械通风的成本效益和术后结果:一项回顾性研究
Jingyan Wang1, Yanran Zhou2, Zongming Jiang1
1Department of Anesthesia, Shaoxing People's Hospital, Shaoxing, China.
Journal of thoracic disease
|November 18, 2024
概括
在视频辅助胸腔镜手术 (VATS) 中的无管麻醉可以降低麻醉和药物成本. 这种方法被推用于未来的VATS程序,因为它具有成本效益和可比的安全性.
科学领域:
- 胸部外科手术 胸部外科手术
- 麻醉学 麻醉学
- 卫生经济学 卫生经济学
背景情况:
- 视频辅助胸腔镜手术 (VATS) 提供了最小侵入性的好处,但其成本效益仍然不清楚,特别是在无管麻醉等新技术中.
- 现有的VATS成本调查结果不一致,需要进一步研究新的麻醉方法.
- 无管麻醉对VATS手术整体成本效益的影响需要与传统方法进行详细比较.
研究的目的:
- 为了比较自发通风VATS (SV-VATS) 和机械通风VATS (MV-VATS) 之间的住院费用.
- 评估和比较接受SV-VATS和MV-VATS的患者的术后结果.
- 在VATS的背景下,确定无管麻醉的成本效益.
主要方法:
- 在2022年6月至2023年7月期间在绍兴人民医院进行的386次VATS手术的回顾性分析.
- 患者被分为两个组:自发通风VATS (SV-VATS,n=57) 和机械通风VATS (MV-VATS,n=329).
- 两组之间进行了全面的成本比较和术后结果评估.
主要成果:
- 在SV-VATS和MV-VATS之间,总体住院费用是可比的 (3858.71美元与3870.26美元,P=0.94美元).
- 在SV-VATS中,麻醉材料 (233.51美元对324.02美元,P<0.001) 和药物 (290.63美元对364.14美元,P<0.001) 的成本显著降低.
- 在SV-VATS组没有经历术后喉痛,声或吐,与MV-VATS组不同 (所有人P<0.05),吐时间更快 (4分钟对10分钟,P<0.001).
结论:
- 自发通风VATS (SV-VATS),一种无管麻醉方法,与机械通风VATS (MV-VATS) 相比,与降低麻醉和药物成本有关.
- SV-VATS显示了可比的术后不良事件率,并促进了患者更快的康复.
- 建议在未来的VATS手术中使用无管麻醉,因为它具有有利的成本效益和患者的结果.
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