基础医学与临床 ›› 2018, Vol. 38 ›› Issue (8): 1131-1134.

• 研究论文 • 上一篇    下一篇

加速术后康复(ERAS)策略在儿童漏斗胸手术中的临床应用

滑蕾,高铮铮,王小雪,刘国亮,高佳,张建敏   

  1. 中国国家儿童医学中心 首都医科大学附属北京儿童医院
  • 收稿日期:2018-06-07 修回日期:2018-06-28 出版日期:2018-08-05 发布日期:2018-07-24
  • 通讯作者: 张建敏 E-mail:zjm428@sina.com

Clinical application of enhanced recovery after surgery (ERAS) protocol in pediatric patients undergoing Nuss repair of pectus excavatum

  • Received:2018-06-07 Revised:2018-06-28 Online:2018-08-05 Published:2018-07-24

摘要: 目的 评价加速术后康复(ERAS)策略对漏斗胸手术患儿术后恢复质量的影响。方法 北京儿童医院择期行Nuss手术的患儿120例,年龄6-18岁,分为传统流程(C组)和ERAS策略(E组)(每组60例),进行围术期管理,术后连续3 d(D1、D2和D3)由患儿或其陪护者填写术后恢复质量量表(QoR-15)。结果 未完成量表E组脱落4例,C组脱落1例。E组的QoR-15总分在术后D2/D3时明显高于C组(P<0.05);E组的A卷得分在D1/2/3均明显高于C组(P<0.05);D1时E组在下地走路/舒适并自我控制评分明显高于C组;D2时E组在食欲好/感觉放松/自行如厕/下地走路/舒适并自我控制评分明显高于C组(P<0.05);D3时E组在感觉放松/自行如厕/舒适并自我控制评分明显高于C组(P<0.05)。 结论 ERAS策略可以改善漏斗胸手术患儿的术后恢复质量。

关键词: 关键词:加速术后康复(ERAS), 漏斗胸, 儿童, 术后恢复质量量表

Abstract: Objective: To evaluate the effect of enhanced recovery after surgery (ERAS) protocol on postoperative recovery quality of children with Nuss surgery. Methods: 120 patients undergoing elective Nuss surgery in Beijing Children's Hospital were enrolled in the study. The patients were 6-18 years old and were divided into two groups according to the operation date. There were 60 cases in each group. The perioperative management was performed using the traditional procedure (C group) and the ERAS strategy (E group), and the postoperative recovery quality scale (QoR-15) was filled by the child or its accompany for three consecutive days. Results: There were 4 uncompleted cases in E group and 1 case in the C group. The total score of QoR-15 in group E was significantly higher than that in group C at D2 and D3 postoperatively (P<0.05). The score of group A in group E was significantly higher than that of group C at D1/2/3 (P<0.05). At D1, the score of walking/comfort and self-control in group E was significantly higher than that of group C (P<0.05). At D2, the scores of good appetite / relaxation / self toileting / being walking / comfortable and self-control were significantly higher in group E than in group C (P<0.05); The scores of group E were significantly higher than those of group C in terms of feeling relaxed/self toilet/comfortable and self-control (P<0.05). Conclusion: ERAS strategy can improve postoperative recovery quality of children with Nuss surgery.

Key words: Key words: Enhanced Recovery After Surgery (ERAS), pectus excavatum, children, postoperative recovery quality scale