基于加速康复外科理念的儿童扁桃体腺样体切除日间手术探讨

Daytime operation for tonsillectomy and/or adenoid resection in children based on the concept of fast track surgery:an exploration of feasibility and safety

目的:探讨基于加速康复外科理念的儿童扁桃体腺样体切除日间手术的可行性与安全性。方法:选取2021年6—12月我科126例行扁桃体和(或)腺样体切除的患儿为研究对象,根据患儿家长意愿及患儿自身条件分别进入日间组(67例)和传统组(59例)。比较两组的手术相关指标、术后不良反应发生率、疼痛评分、费用及临床疗效。结果:日间组术前等待时间、住院时间短于传统组,住院总费用、西药费低于传统组(P<0.05);而两组手术时间、术后疼痛评分、术后不良反应发生率、治疗有效率比较差异无统计学意义(P>0.05)。结论:基于加速康复外科理念开展儿童扁桃体腺样体切除日间手术是安全、有效、可行的,能减轻经济负担,缩短住院时间。

Objective:To explore the feasibility and safety of the daytime operation for tonsillectomy and/or adenoid resection in children based on the concept of fast track surgery.Methods:From June to December 2021,126 children receiving tonsillectomy and/or adenoid resection in our department were selected as the study subjects.According to children's own conditions and wishes of their parents,they were divided into the daytime group(67 cases)and the traditional group(59 cases).The surgery⁃related indicators,incidence of postoperative adverse reactions,pain scores,costs,and clinical therapeutic effect between the two groups were compared.Results:The preoperative waiting time and length of stay in the daytime group were shorter than those in the traditional group,and the total hospitalization cost and western medicine cost were lower than those in the traditional group(P<0.05).There were no statistically significant differences in surgical time,postoperative pain score,incidence of postoperative adverse reactions,and effective rate of treatment between the two groups(P>0.05).Conclusion:It is safe,effective and feasible to carry out the daytime operation for tonsillectomy and/or adenoid resection in children based on the concept of fast track surgery,which can reduce patients'economic burden and shorten the length of stay.