基于加速康复理念的护理方案在机器人辅助腹腔镜肾盂成形术肾积水患儿围手术期护理中的应用

Effects of nursing based on enhanced recovery after surgery in perioperative period of hydronephrosis children with robot-assisted laparoscopic pyeloplasty

目的探讨基于加速康复外科(ERAS)理念的护理方案在机器人辅助腹腔镜肾盂成形术肾积水患儿围手术期护理中的应用效果。方法采用便利抽样法,选取2020年3月—2021年3月在郑州大学第一附属医院行机器人辅助腹腔镜肾盂成形术的60例肾积水患儿为研究对象,按照随机数字表法将患儿分为对照组和观察组,各30例。对照组实施常规围手术期护理,观察组在此基础上实施基于ERAS理念的护理方案,比较两组患儿术后恢复情况、术后并发症情况。结果观察组患儿术后首次进食时间、术后伤口引流管拔管时间、平均住院日均短于对照组,差异均有统计学意义(P<0.01);观察组患儿术后并发症的总发生率低于对照组,差异有统计学意义(P<0.05)。结论基于ERAS理念的护理方案可有效降低机器人辅助腹腔镜肾盂成形术肾积水患儿的术后并发症发生率,促进患儿术后康复,值得临床推广。

Objective To explore the effect of nursing based on enhanced recovery after surgery(ERAS)in the perioperative period of children with hydronephrosis who underwent robot-assisted laparoscopic pyeloplasty.Methods From March 2020 to March 2021,convenience sampling was used to select 60 children with hydronephrosis who underwent robot-assisted laparoscopic pyeloplasty in the First Affiliated Hospital of Zhengzhou University as the research object.According to the random number table method,the children were divided into the control group and the observation group,30 cases in each group.The control group was given routine perioperative nursing.On this basis,the observation group conducted nursing based on ERAS.The postoperative recovery and postoperative complications of the two groups were compared.Results The time of first eating after surgery,the time of extubation of wound drainage tube after surgery,and the average hospital stay of the observation group were shorter than those of the control group,and the differences were statistically significant(P<0.01).The total incidence of postoperative complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusions The nursing based on ERAS can effectively reduce the incidence of postoperative complications in children with hydronephrosis after robot-assisted laparoscopic pyeloplasty,and promote the postoperative recovery of children,which is worthy of clinical promotion.