Impact of abdominal pain green channel on the treatment efficiency and prognosis of acute abdomen

Zhang Jinpeng; Wu Xiuwen; Zou Jianghao; Zhang Zherui; Wu Lei; Hong Zhiwu; Ren Huajian; Wang Gefei; Ren Jian´an

doi:10.3969/j.issn.1003-5591.2024.06.002

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Impact of abdominal pain green channel on the treatment efficiency and prognosis of acute abdomen

更新时间：2026-11-05

- Impact of abdominal pain green channel on the treatment efficiency and prognosis of acute abdomen
- J Abdominal Surg Vol. 37, Issue 6, Pages: 400-405(2024)
- 作者机构：
  
  东部战区总医院全军普通外科研究所，江苏南京 210002
- 作者简介：
  
  Ren Jian´an， Email： jiananr@nju.edu.cn
- 基金信息：
- DOI：10.3969/j.issn.1003-5591.2024.06.002
  CLC： R656.1
- Received：12 November 2024，
  
  Published：22 December 2024
- 稿件说明：
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张锦鹏,吴秀文,邹江豪等.腹痛绿色通道对急腹症病人救治效率及预后影响的研究[J].腹部外科,2024,37(06):400-405.

Zhang Jinpeng,Wu Xiuwen,Zou Jianghao,et al.Impact of abdominal pain green channel on the treatment efficiency and prognosis of acute abdomen[J].J Abdominal Surg,2024,37(06):400-405.
张锦鹏,吴秀文,邹江豪等.腹痛绿色通道对急腹症病人救治效率及预后影响的研究[J].腹部外科,2024,37(06):400-405. DOI： 10.3969/j.issn.1003-5591.2024.06.002.

Zhang Jinpeng,Wu Xiuwen,Zou Jianghao,et al.Impact of abdominal pain green channel on the treatment efficiency and prognosis of acute abdomen[J].J Abdominal Surg,2024,37(06):400-405. DOI： 10.3969/j.issn.1003-5591.2024.06.002.

摘要

目的

探讨腹痛绿色通道对急腹症病人救治效率及预后的影响。

方法

回顾性收集2021年6月至2024年4月南京大学医学院附属金陵医院（东部战区总医院）全军普通外科研究所收治的513例急腹症病人，分为会诊模式组（

=197），腹痛绿色通道组（

=316例）。收集并比较两组基线数据、从入急诊到请会诊时间、入急诊到入院时间、入院到手术时间、住院时间、并发症和术后30 d病死率等。

结果

与腹痛绿色通道成立前相比，腹痛绿色通道成立后病人从急诊到手术的中位时间显著缩短（19.25 h比11.58 h，

＜0.001），从入院到申请手术的中位时间缩短（0.83 h比0.74 h，

=0.047），整体住院时间显著减少（7.95 d比4.56 d，

＜0.001），肺部感染（

=0.031）和腹腔感染（

=0.011）的发生率显著降低，严重并发症发生率降低（16.8%比5.1%，

＜0.001）。腹痛绿色通道组夜间（18：00～次日8：00）手术比例显著增加（44.7%比67.1%，χ

=25.118，

＜0.001）。高年资医生指导下的主治医生及主治医生级以下医生手术率增加（74.0%比89.9%，χ

=50.783，

＜0.001）。

结论

腹痛绿色通道可以缩短急腹症病人术前等待时间，改善病人的总体治疗效果。

Abstract

Objective

To explore the impact of abdominal pain green channel （Abdominal Fast-Track， AFT） on the efficiency of treatment and prognosis of patients with acute abdomen （AA）.

Methods

From June 2021 to April 2024， the relevant clinical data were retrospectively reviewed for 513 hospitalized AA patients. They were assigned into two groups of consultation （

=197） and AFT （

=316）. Baseline profiles， time from admission to emergency clinic for requesting consultation， time from admission to hospitalization， time from admission to surgery， length of hospitalization stay， complications and 30-day postoperative morbidity/mortality were compared between two groups.

Results

As compared with before establishing AFT， median time from emergency to surgery was significantly shorter after establishing AFT （19.25 vs 11.58 h，

0.001）， median time from admission to re

questing surgery was shorter （0.83 vs 0.74 h，

=0.047） and overall length of hospital stay declined significantly （7.95 vs 4.56 day，

0.001）， a significantly lower incidence of pulmonary （

=0.031） and abdominal （

=0.011） infections and a lower rate of severe complications （16.8% vs 5.1%，

0.001）. The proportion of nighttime （18：00-8：00） surgeries was significantly higher in AFT group （44.7% vs 67.1%，

0.001）. There was a higher rate of surgeries performed by attending physicians under the supervision of senior physicians and physicians below attending level （74.0% vs 89.9%，

0.001）.

Conclusion

AFT may shorten preoperative waiting time and improve overall outcomes in AA patients.

关键词

Keywords

references

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