小儿胃肠道术后早期下床活动的量化和效果研究  

Quantization and effects of early ambulation among children with gastrointestinal operation

作　　者：石彩晓 耿荷红 朱莹莹[1] 张现伟 Shi Caixiao;Geng Hehong;Zhu Yingying;Zhang Xianwei(Nursing Department,Children's Hospital Affiliated of Zhengzhou University & He'nan Children's Hospital & Zhengzhou Children's Hospital,Zhengzhou 450018,China)

机构地区：[1]郑州大学附属儿童医院河南省儿童医院郑州儿童医院护理部,郑州450018

出　　处：《中华现代护理杂志》2019年第19期2431-2435,共5页Chinese Journal of Modern Nursing

基　　金：河南省卫生科技攻关项目(201303232).

摘　　要：目的基于加速康复外科(ERAS)临床路径,探讨小儿胃肠道术后早期下床活动的量化和效果研究。方法选择2018年1—8月在河南省儿童医院普通外科进行胃肠道手术的72例患儿,随机分为两组。观察组给予ERAS围手术期优化护理措施,对照组给予传统围手术期护理措施。结果观察组术后早期活动量高于对照组,术后首次排气、排便、进食时间均早于对照组,术后住院时间和住院费用均低于对照组,差异均有统计学意义(P<0.01)。但两组患儿术后并发症方面和不同年龄段术后早期活动量比较差异均无统计学意义(P>0.05)。结论在ERAS围手术期治疗理念下,早期下床活动不仅能促进患儿排气、排便,提早患儿进食时间,还可以减少术后住院时间,降低住院费用。Objective To explore the quantization and effects of early ambulation among children with gastrointestinal operation based on enhanced recovery after surgery (ERAS). Methods From January to August 2018, 72 children with gastrointestinal operation in general surgery at He'nan Children's Hospital were selected. All of them were randomly divided into two groups. Observation group carried out optimized perioperative nursing based on ERAS, while control group implemented traditional perioperative nursing. Results After surgery, the amount of postoperative early ambulation of observation group was more than that of control group;and the time of anal exhaust for the first time, defecation and food taking of observation group were earlier than those of control group;and hospital stay as well as cost of observation group were less than those of control group all with statistical differences (P<0.01). However, there were no statistical differences in postoperative complications and amounts of postoperative early ambulation among children with different ages (P>0.05). Conclusions With ERAS perioperative treatment, early ambulation not only can promote exhaust, defecation and early foot taking, but also can reduce postoperative hospital stay as well as cost.

关 键 词：儿童 加速康复外科 早期下床活动 胃肠道手术 

分 类 号：R473.72[医药卫生—护理学]