摘要
目的探讨快速康复外科(FTS)护理在行先天性巨结肠(HD)切除术患儿中的应用效果。方法回顾性分析2017年6月至2020年6月于苏州大学附属儿童医院行HD切除术的88例患儿的临床资料,按护理方法的不同将其划分入对照组(45例)和观察组(43例)。对照组患儿接受常规护理,观察组患儿接受FTS护理,并比较2组患儿的一般情况。结果术后1 d及3 d,2组的血清白介素-6(IL-6)和皮质醇(Cor)水平均较术前升高(P均<0.05),但观察组的上述应激指标水平均低于同期对照组(P均<0.05)。观察组的首次通气和首次排便时间均早于对照组(P均<0.05),术后住院时间短于对照组(P<0.05)。观察组的肛管、胃管及导尿管拔除时间均早于对照组(P均<0.05)。2组在术后3 d的数字评分法(NRS)评分均低于术后1 d(P均<0.05),观察组在术后1 d、3 d的NRS评分均低于同期对照组(P均<0.05)。2组的术后并发症总发生率比较无统计学差异(P>0.05)。结论对行HD切除术的患儿实施FTS护理,可明显减轻其应激反应和疼痛感,改善其术后指标,并缩短其拔管时间。
Objective To explore the application effect of fast-track surgery(FTS)nursing on children undergoing resection for Hirschsprung disease(HD).Methods The clinical data of 88 children who underwent HD resection in the Children’s Hospital of Soochow University from June 2017 to June 2020 were analyzed retrospectively.They were divided into a control group(45 cases)and an observation group(43 cases)according to different nursing methods.The children in the control group received routine nursing,and the children in the observation group received FTS nursing.The general conditions of the two groups were compared.Results At 1 and 3 days after operation,the levels of serum interleukin-6(IL-6)and cortisol(Cor)in the two groups were increased than those before operation(all P<0.05),but the observation group had lower levels of the above stress indicators than the control group(all P<0.05).The first exhaust time,first defecation time,and length of hospital stay after operation in the observation group were shorter than those in the control group(all P<0.05).The removal time of anal tube,gastric tube,and urinary catheter in the observation group was earlier than that in the control group(all P<0.05).The numeric rating scale(NRS)scores of the two groups at 3 days after operation were lower than those at 1 day after operation(both P<0.05),and the NRS scores of the observation group at 1 and 3 days after operation were lower than those of the control group(both P<0.05).There was no significant difference in the total incidence of postoperative complications between the two groups(P>0.05).Conclusion FTS nursing for children undergoing HD resection can significantly reduce their stress response and pain,improve their postoperative indicators,and shorten the extubation time.
作者
曹璇
CAO Xuan(Department of General Surgery,Children's Hospital of Soochow University,Suzhou,Jiangsu,215002,China)
出处
《中西医结合护理（中英文）》
2021年第11期21-24,共4页
Journal of Clinical Nursing in Practice
作者简介
曹璇(1979.07—),女,本科,主管护师,主要从事小儿普外护理研究
