加速康复理念下小儿胃肠外科围手术期的饮食管理及价值

Discussion on value of dietary management in perioperative period of pediatric gastrointestinal surgery based on accelerated rehabilitation concept

目的探讨加速康复理念下小儿胃肠外科围手术期的饮食管理及临床价值。方法选择2017年1月—2019年6月期间行胃肠外科手术的70例患儿作为研究对象,按护理方式的不同将其分为对比组(给予常规胃肠外科围手术期饮食管理方式)和康复组(给予加速康复理念下的胃肠外科围手术期饮食管理方式),每组35例。比较两组患儿的首次排气时间、首次排便时间、首次进食时间、住院时间及不良反应情况。结果经过护理,康复组的首次排气时间、首次排便时间、首次进食时间、住院时间均短于对比组,差异具有统计学意义(P<0.05);康复组的不良反应发生率为5.71%,明显低于对比组的22.86%,差异具有统计学意义(P<0.05)。结论加速康复理念下的小儿胃肠外科围手术期饮食管理能帮助患儿缩短治疗时间,促进肠道恢复,避免各类不良反应的发生,更利于患儿的康复。

Objective To explore the perioperative dietary management in pediatric gastrointestinal surgery and its value based on the concept of accelerated rehabilitation.Methods From January 2017 to June 2019,70 children who underwent gastrointestinal surgery in our hospital were selected as study subjects.According to the nursing methods,they were divided into two groups:a control group(given routine perioperative dietary management)and a rehabilitation group(given the perioperative diet management based on the concept of accelerated rehabilitation),with 35 cases in each group.The first exhaust time,first defecation time,first eating time,hospitalization time,and adverse reactions between the two groups were compared.Results After corresponding nursing strategies,the time of first exhaust,first defecation,first eating,and hospitalization in the rehabilitation group were significantly shorter than those in the control group(P<0.05);the incidence rate of adverse reactions in the rehabilitation group was 5.71%,significantly lower than 22.86%in the control group(P<0.05).Conclusion Based on the concept of accelerated rehabilitation,perioperative dietary management can help the children with gastrointestinal surgery shorten treatment time,promote intestinal recovery,avoid various adverse reactions,and is more conducive to the rehabilitation of children than conventional dietary management.