背景:本研究旨在探讨加速康复外科(ERAS)在先天性上消化道梗阻(CUGIO)患儿中的临床应用。
方法:选取2017年6月至2021年6月昆明市儿童医院新生儿重症监护病房收治的CUGIO患儿82例,分为ERAS组(n=46)和对照组(n=36)。ERAS集团采用ERAS管理模式,对照组采用常规围手术期管理模式。
结果:在ERAS组和对照组中,术后第一次排便时间分别为49.2±16.6h和58.4±18.8h,分别,术后第一次进食时间为79±7.1h和125.2±8.3h,分别。两组间上述两项指标差异均有统计学意义(P<0.05)。在ERAS组中,肠外营养天数和住院时间分别为14.5±2.3d和18.8±6.4d,分别。在对照组中,17.6±2.2d和23.1±8.1d,分别。两组间上述两项指标差异均有统计学意义(P<0.05)。
结论:ERAS管理模式对CUGIO患儿术后早期恢复有积极作用。
BACKGROUND: The present study aims to explore the clinical application of enhanced recovery after surgery (ERAS) in pediatric patients with congenital upper gastrointestinal obstruction (CUGIO).
METHODS: A total of 82 pediatric patients with CUGIO admitted to the neonatal intensive care unit in Kunming Children\'s Hospital between June 2017 and June 2021 were enrolled in the present study and divided into two groups: the ERAS group (n = 46) and the control group (n = 36). The ERAS management mode was adopted in the ERAS group, and the conventional perioperative management mode was adopted in the control group.
RESULTS: In the ERAS group and the control group, the time to the first postoperative bowel movement was 49.2 ± 16.6 h and 58.4 ± 18.8 h, respectively, and the time to the first postoperative feeding was 79 ± 7.1 h and 125.2 ± 8.3 h, respectively. The differences in the above two indicators between the two groups were statistically significant (P < 0.05). In the ERAS group, the days of parenteral nutrition and the length of hospital stay were 14.5 ± 2.3 d and 18.8 ± 6.4 d, respectively. In the control group, 17.6 ± 2.2 d and 23.1 ± 8.1 d, respectively. The differences in these two indicators between the two groups were statistically significant (P < 0.05).
CONCLUSIONS: The ERAS management model had a positive effect on early postoperative recovery in pediatric patients with CUGIO.