家庭参与式加速康复外科护理在牙槽嵴裂患儿围术期的应用  

Application of Family Participatory Rapid Rehabilitation Surgical Care in Children with Alveolar Cleft During Perioperative Period

作　　者：胡万娟 徐筱璐 张欣雨 史亚伟[1] 张瑾 Hu Wanjuan;Xu Xiaolu;Zhang Xinyu(Department of Oral and Maxillofacial Surgery,The Affiliated Stomatological Hospital of Nanjing Medical University,Nanjing,Jiangsu,210009,China)

机构地区：[1]南京医科大学附属口腔医院口腔颌面外科,江苏南京21000

出　　处：《黑龙江医学》2025年第8期1010-1012,共3页Heilongjiang Medical Journal

摘　　要：目的:探讨家庭参与式加速康复外科(ERAS)护理在唇腭裂患儿序列治疗中行自体髂骨松质骨移植修复牙槽嵴裂术患儿的围术期护理的应用效果。方法:选取2022年1月—2022年12月南京医科大学附属口腔医院颌面外科病区收治的104例唇腭裂序列治疗中牙槽嵴裂的患儿作为研究对象,分为对照组(n=52)和干预组(n=52)。对照组采用常规围术期护理,干预组采用家庭参与式ERAS护理;对比两组患儿术后首次下床时间及住院总天数、疼痛程度、患儿的焦虑分值及术后并发症的发生率。结果:术后,干预组患儿首次下床时间及住院总天数均短于对照组,差异有统计学意义(t=-11.495、-11.921,P<0.05)。术后,干预组患儿视觉模拟量表(VAS)评分均低于对照组,差异均有统计学意义(t=-4.303、-7.136、-5.273,P<0.05)。干预后,干预组患儿SCARED评分高于对照组,差异有统计学意义(t=0.985,P<0.05)。术后,干预组患儿并发症发生率低于对照组,差异有统计学意义(χ^(2)=0.018,P<0.05)。结论:家庭参与式ERAS护理运用于自体髂骨移植修复牙槽嵴裂患儿围术期的护理,可以缓解疼痛,减轻患儿的焦虑情绪,减少术后并发症发生率,缩短住院周期,促进患儿早日康复。Objective:To explore the application effect of family participatory rapid rehabilitation surgical care(ERAS)in the perioperative care of patients with cleft lip and palate undergoing autologous iliac cancellous bone transplantation for repairing alveolar cleft surgery.Methods:Children with cleft lip and palate undergoing sequential treatment of alveolar ridge were selected as the research subjects from January 2021 to December 2022 in the Maxillofacial Surgery Ward of the hospital,and they were divided into contol group and intervention group.Control group received routine perioperative care(n=52),while the intervention group received family participation rapid rehabilitation surgical nursing intervention(n=52).The first time out of bed and total hospitalization days,pain degree,anxiety score and postoperative complication rate were compared between the two groups.Results:After surgery,the first time of getting out of bed and the total hospitalization days in the intervention group were shorter than those in the control group,with statistically significant difference(t=-11.495,-11.921;P<0.05).After surgery,VAS scores in the intervention group were lower than those in the control group,with statistical significance(t=-4.303,-7.136,-5.273;P<0.05).After intervention,SCARED score in intervention group was higher than that in control group,and the difference was statistically significant(t=0.985,P<0.05).After operation,the complication rate in the intervention group was lower than that in the control group,and the difference was statistically significant(χ^(2)=0.018,P<0.05).Conclusion:The application of family participatory rapid rehabilitation surgical nursing in the perioperative care of children with alveolar cleft repaired by autologous iliac bone transplantation can alleviate pain,alleviate anxiety,reduce postoperative complications,shorten hospitalization period,and promote early recovery of children.

关 键 词：加速康复外科 家庭参与式护理 髂骨移植 牙槽嵴裂 

分 类 号：R473.78[医药卫生—护理学]