单部位腹腔镜疝囊高位结扎术联合ERAS策略在小儿腹股沟疝中的临床效果分析  

Analysis of the clinical effect of single-site laparoscopic high ligation of hernia sac combined with ERAS strategy for inguinal hernia in children

作　　者：段书亚 肖平 DUAN Shu-ya;XIAO Ping(Department of Surgery,Huichang County Maternal and Child Health Hospital,Ganzhou 342600,China)

机构地区：[1]江西省会昌县妇幼保健院外科,342600

出　　处：《中国现代药物应用》2025年第1期168-171,共4页Chinese Journal of Modern Drug Application

基　　金：赣州市指导性科技计划(项目编号:20222ZDX8593)。

摘　　要：目的探究在气管插管全身麻醉(全麻)下行单部位腹腔镜疝囊高位结扎术联合加速康复外科(ERAS)策略在小儿腹股沟疝中的临床应用价值。方法78例小儿腹股沟疝患儿,按照随机数字表法分为对照组与研究组,每组39例。两组患儿均在气管插管全麻下行单部位腹腔镜疝囊高位结扎术,对照组采取常规康复方法干预,研究组采用ERAS策略干预。对比两组的围术期指标、疼痛评分、不良事件发生情况和满意度。结果两组手术出血量、手术时间对比不存在差异性(P>0.05);研究组住院时间(2.55±0.37)d短于对照组的(6.36±1.29)d,住院费用(6645.42±135.34)元低于对照组的(7880.69±147.75)元(P<0.05)。研究组术后即刻、术后12h、术后1d、术后2d的视觉模拟评分法(VAS)评分分别为(4.35±0.36)、(2.63±0.41)、(1.92±0.63)、(1.29±0.66)分,呈现下降趋势,且低于对照组的(6.59±0.25)、(4.76±0.55)、(3.56±0.47)、(3.55±0.81)分(P<0.05)。研究组的不良事件发生率5.13%(2/39)低于对照组的20.51%(8/39)(χ^(2)=4.129,P=0.042<0.05)。研究组的总满意率97.44%(38/39)高于对照组的82.05%(32/39)(χ^(2)=5.014,P=0.025<0.05)。结论ERAS策略联合单部位腹腔镜疝囊高位结扎术可使小儿腹股沟疝患儿的住院时间、住院费用等围术期指标均得到改善,而且该方法具有疼痛程度低、安全性较高的优势,能够在极大程度上满足患儿的临床需求。Objective To explore the clinical application value of single-site laparoscopic high ligation of hernia sac combined with enhanced recovery after surgery(ERAS)strategy under general anesthesia with tracheal intubation for inguinal hernia in children.Methods A total of 78 children with inguinal hernia were divided into a control group and a study group according to random numerical table,with 39 cases in each group.Children in both groups were treated with single-site laparoscopic high ligation of hernia sac under general anesthesia with tracheal intubation,and children in the control group were given routine rehabilitation,while children in the study group were given ERAS strategy.The perioperative indexes,pain score,adverse reactions and satisfaction were compared between the two groups.Results There was no difference in surgical blood loss and operation time between the two groups(P>0.05).The hospitalization time of(2.55±0.37)d in the study group was shorter than(6.36±1.29)d in the control group,and the hospitalization expense of(6645.42±135.34)yuan was lower than(7880.69±147.75)yuan in the control group(P<0.05).The visual analogue scale(VAS)scores of the study group immediately after surgery,12 h after surgery,1 d after surgery and 2 d after surgery were(4.35±0.36),(2.63±0.41),(1.92±0.63)and(1.29±0.66)points,showing a decreasing trend,and were lower than(6.59±0.25),(4.76±0.55),(3.56±0.47)and(3.55±0.81)points in the control group(P<0.05).The incidence of adverse reactions in the study group was 5.13%(2/39),which was lower than 20.51%(8/39)in the control group(χ^(2)=4.129,P=0.042<0.05).The total satisfaction rate of the study group was 97.44%(38/39),which was higher than 82.05%(32/39)of the control group(χ^(2)=5.014,P=0.025<0.05).Conclusion ERAS strategy combined with single-site laparoscopic high ligation of hernia sac can improve the perioperative indexes,such as hospitalization time and hospitalization expense,moreover,this method has the advantages of low degree of pain and high safety,and can

关 键 词：单部位腹腔镜 疝囊高位结扎术 加速康复外科策略 小儿腹股沟疝 临床效果 

分 类 号：R47[医药卫生—护理学]