目的:分析我院日间手术应用于临床后,儿童腹股沟斜疝/鞘膜积液/NUCK’S囊肿、体表小肿块患儿在实施日间手术下的效果,探讨其存在的问题,为进一步推广日间手术的应用提供一定的依据。方法:统计湖南省儿童医院急诊综合外科2013年7月至2014年6月收治上述病种的患儿共1486例,分为日间手术组和住院手术组,比较分析两组患儿预约住院等待时间、入院后成功实施手术率、住院天数、住院费用、并发症发生率、家长满意度。结果:日间手术组在预约住院等待时间、住院天数和住院费用上具有明显优势,术后并发症发生率无明显差异,患儿家长满意度较住院手术组高,其差异具有统计学意义(P<0.05)。结论:应用日间手术能有效缩短预约住院等待时间,减少住院天数,患儿在陌生环境停留时间缩短,有利于提高家长满意度,在保证医疗质量的同时降低了医疗费用,充分利用医院有限的床位资源,适于临床多科室进一步推广应用。 OBJECTIVE: To analyze the effect of daytime surgery in our hospital for clinical use, children’s inguinal hernia / hydrocele / Nuck’s cyst and small body surface mass in the implementation of daytime operation, and to explore its existing problems. In order to further promote Day surgery to provide some basis for the application. Methods: A total of 1486 children admitted to Hunan Provincial Children’s Hospital Emergency Department of Surgery from July 2013 to June 2014 were divided into two groups: the day operation group and the inpatient operation group. The hospitalization waiting time was compared between the two groups Time, the successful implementation of the operation rate after admission, hospitalization days, hospitalization costs, the incidence of complications, parents satisfaction. Results: The daytime operation group had obvious advantages in waiting time for hospitalization, days of hospitalization and hospitalization cost. There was no significant difference in the incidence of postoperative complications between the two groups. The satisfaction of parents in children was higher than that of hospitalization group, and the difference was statistically significant ( P <0.05). Conclusion: The application of day surgery can effectively shorten the waiting time for hospitalization, reduce the number of days of hospitalization, shorten the residence time in unfamiliar environment, improve the satisfaction of parents, reduce the medical expenses while ensuring the quality of medical treatment, and make full use of limited hospital Bed resources, suitable for clinical multi-department to further promote the application.