加速康复外科围术期优化护理在先天性胆管扩张症患儿中的应用

Application of Optimal Perioperative Nursing of Enhanced Recovery After Surgery in Children with Congenital Cholangiectasia

目的:探讨加速康复外科(ERAS)围术期优化护理在先天性胆管扩张症围术期患儿中的应用方法及效果。方法:将46例Ⅰ型先天性胆管扩张症患儿按护理方法不同分为观察组和对照组各23例,对照组给予常规围术期护理,观察组给予ERAS围术期优化护理措施,比较两组护理效果。结果:两组患儿术后首次排气时间、首次排便时间、术后住院天数、住院费用以及恶心/呕吐、腹胀、吻合口漏、切口感染发生率比较差异均有统计学意义(P<0.05,P<0.01)。观察组患儿家属手术前后焦虑情绪评分低于对照组(P<0.01)。结论:加速康复外科围术期优化护理可促进先天性胆管扩张症围术期患儿术后肠功能恢复,减少术后并发症,缩短患儿住院时间,减少住院费用,缓解家属不良情绪。

Objective:To explore the application method and effect of perioperative optimal nursing in ERAS in perioperative children with congenital cholangiectasia.Methods:A total of 46 cases of childrenⅠtype of congenital cholangiectasia were divided into observation group and control group according to different nursing methods with 23 cases in each group.Control group was given conventional perioperative care,and observation group was given ERAS perioperative optimization nursing measures.The nursing effects of the two groups were compared.Results:The differences were statistically significant in the time of first postoperative exhaust,first postoperative defecation,postoperative hospitalization days,hospitalization costs,nausea/vomiting,abdominal distension,anastomotic leakage,and incisional infection(P<0.05,P<0.01).The anxiety score of the observation group was lower than that of the control group(P<0.01).Conclusion:The optimal perioperative nursing of ERAS in perioperative children with congenital cholangiectasia can promote the postoperative intestinal function recovery of children with congenital cholangiectasia during the perioperative period,reduce postoperative complications,shorten the hospitalization time of children,reduce the hospitalization cost,and alleviate the family members′bad emotions.