快速康复外科理念在小儿头颈外科围手术期的应用

Application of the concept of rapid rehabilitation surgery in perioperative period of pediatric head and neck surgery

目的探讨快速康复外科理念在小儿头颈外科围手术期的应用效果。方法选取2018年1月至2020年10月赣州市立医院收治的68例头颈部外科疾病患儿为研究对象,按照随机数字表法分为快速康复组和对照组,每组各34例。对照组给予传统围手术期管理方案,快速康复组依据快速康复理念,制定并实施耳鼻咽喉科小儿头颈外科手术的围手术期管理方案。两组患儿均干预2周,比较相关手术指标、术后并发症发生情况及护理满意度。结果快速康复组手术时间、术后住院时间、总住院时间短于对照组,术后12 h疼痛程度低于对照组,差异有统计学意义(P<0.05)。快速康复组术后并发症总发生率低于对照组,差异有统计学意义(P<0.05)。快速康复组的护理满意度高于对照组,差异有统计学意义(P<0.05)。结论小儿头颈外科围手术期采用快速康复外科理念,效果显著,能有效促进患儿术后恢复、减少并发症的发生、提高护理满意度,具有较高的临床应用价值。

Objective To explore the application effect of the concept of rapid rehabilitation surgery in perioperative period of pediatric head and neck surgery.Methods A total of 68 children with head and neck surgery diseases admitted to Ganzhou Municipal Hospital from January 2018 to October 2020 were selected as the research objects.According to the random number table method,they were divided into rapid recovery group and control group,with 34 cases in each group.The control group received the traditional perioperative management program,while the rapid rehabilitation group formulated and implemented the perioperative management program of pediatric head and neck surgery in otorhinolaryngology department according to the concept of rapid rehabilitation.The two groups were treated for 2 weeks,and the related surgical indicators,postoperative complications and nursing satisfaction were compared.Results The operation time,postoperative hospital stay and total hospital stay in the rapid rehabilitation group were shorter than those in the control group,and the pain degree 12 h after surgery was lower than that in the control group,the differences were statistically significant(P<0.05).The total incidence of postoperative complications in the rapid rehabilitation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Nursing satisfaction of the rapid rehabilitation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The perioperative period of pediatric head and neck surgery adopts the concept of rapid rehabilitation surgery,which has significant effect,can effectively promote postoperative recovery of children,reduce the occurrence of complications,improve nursing satisfaction,and has high clinical application value.