摘要
目的对比加速康复外科(ERAS)和常规康复外科在儿童腺样体扁桃体切除术中应用效果。方法符合纳入标准的606例腺样体扁桃体肥大患儿,随机分为ERAS组(n=314)和常规组(n=292),对患儿术后疼痛、饮食量、睡眠时间、术后住院时间和并发症发生率进行比较。结果ERAS组术后6、12、24 h视觉模拟评分法(VAS)评分分别为2(1,2)分、2(2,3)分、2(1,3)分,常规组为3(2,3)分、4(3,5)分、3(3,4)分,差异均有统计学意义(P均<0.05);ERAS组术后6、12、24 h冷流质饮食量分别为100(85,115)ml、535(500,565)ml、1365(1225,1490)ml,常规组为40(35,45)ml、337.5(295,370)ml、505(460,535)ml,差异均有统计学意义(P均<0.05);ERAS组手术当晚、术后第1日睡眠时间分别为8(7,9)h、10(9,11)h,常规组为6(5,8)h、8(7,9)h,差异均有统计学意义(P均<0.05)。ERAS组和常规组术后住院天数分别为2(2,3)d、3(3,4)d,术后并发症发生率分别为0.64%、3.42%,差异均有统计学意义(P均<0.05)。结论ERAS能减轻儿童腺样体扁桃体切除术后疼痛,提高患儿术后舒适度,缩短住院时间。
Objective To compare the clinical efficacy of enhanced recovery after surgery(ERAS)and conventional recovery after surgery in children undergoing adenotonsillectomy.Methods A total of 606 children eligible for adenotonsillectomy were recruited and randomly divided into the ERAS(n=314)and conventional groups(n=292).Postoperative pain,diet,sleep duration,length of postoperative hospital stay and incidence of complications were statistically compared between two groups.Results In the ERAS group,the visual analogue scale(VAS)scores at 2,12,and 24 h after surgery were 2(1,2),2(2,3)and 2(1,3),significantly lower compared with 3(2,3),4(3,5)and 3(3,4)in the conventional group(all P<0.05).In the ERAS group,the quantity of cold fluid diet at 6,12,and 24 h after surgery was 1100(85,115),535(500,565)and 1365(1225,1490)ml,significantly higher than 40(35,45),337.5(295,370)and 505(460,535)ml in the conventional group(all P<0.05).In the ERAS group,the sleep duration on the evening of surgery and 1 d after surgery was 8(7,9)and 10(9,11)h,significantly longer compared with 6(5,8)and 8(7,9)h in the conventional group(all P<0.05).In the ERAS group,the length of postoperative hospital stay was significantly shorter than that in the conventional group(2(2,3)vs.3(3,4),P<0.05).The incidence of postoperative complications in the ERAS group was significantly lower compared with that in the conventional group(0.64%vs.3.42%,P<0.05).Conclusion ERAS can mitigate postoperative pain,improve postoperative comfort and shorten the length of hospital stay in pediatric patients after adenotonsillectomy.
作者
彭帆
向园花
徐海天
殷青
李俊
Peng Fan;Xiang Yuanhua;Xu Haitian;Yin Qing;Li Jun(Department of ENT,Taizhou Central Hospital(Taizhou University Hospital),Taizhou 318000,China)
出处
《新医学》
CAS
2021年第5期360-364,共5页
Journal of New Medicine
关键词
儿童
腺样体扁桃体切除术
围术期
加速康复外科
Child
Adenotonsillectomy
Perioperative period
Enhanced recovery after surgery
