基于加速康复外科理念的干预在先天性巨结肠患儿中的应用价值  

Application of Intervention Based on Enhanced Recovery after Surgery in Children with Congenital Megacolon

作　　者：时红光[1] 鲁颂献 傅哲 陈玄玄 陈琦[1] SHI Hong-guang;LU Song-xian;FU Zhe;CHEN Xuan-xuan;CHEN Qi(Department of Pediatric General Surgery,the Third Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第三附属医院小儿普外科

出　　处：《河南医学研究》2020年第4期599-601,共3页Henan Medical Research

摘　　要：目的探讨基于加速康复外科(ERAS)理念的干预在先天性巨结肠患儿中的应用效果。方法回顾性分析2016年9月至2019年6月郑州大学第三附属医院小儿普外科收治的80例接受手术治疗的先天性巨结肠患儿的临床资料。将2016年9月至2018年2月接受传统康复干预措施的46例先天性巨结肠患儿纳入对照组,将2018年3月至2019年6月接受基于ERAS理念干预的34例先天性巨结肠患儿纳入ERAS组。比较两组患儿术后住院时间、胃管留置时间、尿管留置时间、排气时间、达到全量肠内营养时间,以及重置胃管、呕吐腹胀、并发症的发生率。结果ERAS组术后住院时间、胃管留置时间、尿管留置时间、排气时间、达到全量肠内营养时间均短于对照组,差异有统计学意义(均P<0.05)。ERAS组患儿重置胃管、呕吐腹胀、并发症的发生率分别与对照组比较,差异无统计学意义(均P>0.05)。结论基于ERAS理念的干预有助于先天性巨结肠患儿术后的康复。Objective To explore the effect of intervention based on enhanced recovery after surgery(ERAS)concept in children with congenital megacolon.Methods The clinical data of 80 children with congenital megacolon who received surgical treatment in the Department of Pediatric General Surgery of the Third Affiliated Hospital of Zhengzhou University from September 2016 to June 2019 were retrospectively analyzed.Forty-six children with congenital megacolon who received intervention based on traditional rehabilitation from September 2016 to February 2018 were included in control group,and 34 children with congenital megacolon who received intervention based on ERAS concept from March 2018 to June 2019 were included in ERAS group.Comparing the differences in postoperative hospital stay,gastric tube indentation time,urinary tube indentation time,exhaust time,total enteral nutrition time,and the incidences of gastric tube replacement,vomiting and abdominal distension,and complications between the two groups.Results The postoperative hospitalization time,gastric tube indentation time,urinary tube indentation time,exhaust time and total enteral nutrition time in ERAS group were all shorter than those in control group,and the differences were statistically significant(all P<0.05).There were no significant differences in the incidences of gastric tube replacement,vomiting and abdominal distension,and complications between the two groups(all P>0.05).Conclusion The interventions based on ERAS concept are helpful for postoperative rehabilitation of children with congenital megacolon.

关 键 词：先天性巨结肠 加速康复外科 围手术期管理 并发症 

分 类 号：R473.72[医药卫生—护理学]