快速康复外科理念在腹腔镜治疗小儿腹股沟斜疝术后护理中的应用

目的 探讨快速康复外科(ERAS)理念在腹腔镜小儿疝囊高位结扎术术后护理中的临床应用效果,评价患儿全麻术后早期进食及早期活动的安全性和可行性。方法 选取某三级甲等医院小儿外科收治腹股沟斜疝患儿154例作为研究对象。随机分为观察组82例和对照组72例,观察组患儿采用ERAS理念进行护理,对照组患儿采用传统的围手术期护理方法。通过对比两组患儿疼痛程度、住院时间、住院费用、术后不良反应和并发症、家属满意度等相关指标的差异来比较两组患儿的护理效果。结果 观察组患儿较对照组住院时间缩短、住院费用降低(P＜0.05);观察组患儿术后哭闹、饥饿及家属对护理服务的满意度明显优于对照组(P＜0.05);观察组患儿术后疼痛程度较对照组减轻(P＜0.05)。结论 ERAS理念应用于腹腔镜治疗小儿腹股沟斜疝,减少患儿术后住院时间、住院费用,不增加患儿术后并发症的发生,家属满意度提高,值得推广应用。

Application of the theory of enhanced recovery after surgery in postoperative nursingafter laparoscopic treatment of pediatric indirect inguinal hernia

Objective To study the clinical effectiveness of the theory of enhanced recovery after surgery in the nursing care after laparoscopic high ligation in treatment of pediatric indirect inguinal hernia, and to evaluate the safety and feasibility of early feeding and early activity after general anesthesia.Methods Totally 154 children with indirect inguinal hernia admitted by pediatric surgery in a tertiary hospital were selected as the study objects. The patients were randomly divided into the observation group (82 cases) and the control group (72 cases). The children in the observation group were nursed with the concept of rapid rehabilitation surgery, while the children in the control group were nursed with the traditional perioperative nursing method. The nursing effects of the two groups of children were compared by comparing the differences in the degree of pain, hospitalization stays, hospitalization cost, postoperative adverse reactions and complications, family satisfaction and other relevant indicators.Results Compared with the control group, the children in the observation group had shorter hospital stays and lower hospitalization costs (P<0.05). The postoperative crying, hunger and family members′ satisfaction with nursing services of the observation group were significantly better than that of the control group (P<0.05). The degree of postoperative pain of the observation group was less than that of the control group (P<0.05).Conclusion The application of the theory of enhanced recovery after surgery in the laparoscopic treatment of pediatric indirect inguinal hernia has reduced the hospitalization time and cost of the children, without increasing the incidence of postoperative complications of the children, and improves family satisfaction. Therefore, it is worthy of promotion and application.