加速康复外科理念在急性肠套叠患儿围术期的应用效果及对家属焦虑抑郁情绪的影响  

Application effect of ERAS concept on perioperative period of children with acute intussusception and its influence on anxiety and depression of family members

作　　者：周亚丽[1] 周亚平[2] 许波[1] Zhou Yali;Zhou Yaping;Xu Bo(First author's address First Affiliated Hospital of Henan University of Science and Technology,Luoyang 471000,Henan,China)

机构地区：[1]河南科技大学第一附属医院,河南洛阳471000 [2]河南科技大学第二附属医院,河南洛阳471000

出　　处：《临床心身疾病杂志》2019年第3期165-167,共3页Journal of Clinical Psychosomatic Diseases

基　　金：洛阳市科技创新人才项目(编号201602069).

摘　　要：目的探讨加速康复外科理念在急性肠套叠围术期的应用效果及对患儿家属焦虑抑郁情绪的影响。方法将68例肠套叠择期手术患儿按随机数字表法分为两组,每组34例。观察组采用加速康复外科理念进行围术期护理,对照组围术期给予常规护理,观察住院全程。比较两组术后肠功能恢复情况、家属焦虑抑郁情绪及满意度。结果观察组患儿术后首次下床时间、拔管时间、开始康复治疗时间、首次进食时间、排气时间及排便时间均显著早于对照组(P<0.01),住院时间显著少于对照组(P<0.01)。出院时两组患儿家属焦虑自评量表和抑郁自评量表评分均较入院时显著降低(P<0.01),观察组显著低于对照组(P<0.01);满意度评分观察组显着高于对照组(P<0.01)。结论在急性肠套叠围术期应用加速康复外科理念能促进患儿术后肠功能恢复,提升手术效果,同时改善患儿家属焦虑抑郁情绪,并获得较高的满意度。Objective To investigate the application effect of ERAS concept on perioperative period of children with acute intussusception and its influence on anxiety and depression of family members.Methods 68 cases with acute intussusception were randomly divided into two groups according to the random number table method,34 cases in each group.The observation group was treated with ERAS for perioperative care,and the control group received routine care during the perioperative period,and observe the whole process of hospitalization.The recovery of postoperative intestinal function,family anxiety and depression and satisfaction were compared between the two groups.Results The first leaving bed time,extubation time,rehabilitation time,first feeding time,evacuation time,defecating time were significantly earlier in the observation group than those in the control group(P<0.01).The hospital stay was significantly less than that of the control group(P<0.01).At the time of discharge,the SAS and SDS scores of the two groups were significantly lower than those at admission(P<0.01),and the observation group was significantly lower than the control group(P<0.01).The satisfaction score was significantly higher in the observation group than that in the control group(P<0.01).Conclusions The application of ERAS in the treatment of patients with acute intussusception can promote the postoperative intestinal function recovery,and improve the effect of surgery,while improving the anxiety and depression of the family members,and obtain higher satisfaction.

关 键 词：急性肠套叠 加速康复外科 小儿术后恢复 肠功能 情绪 

分 类 号：R574.3[医药卫生—消化系统] R248.4[医药卫生—内科学]