ERAS理念在腹腔镜手术治疗小儿阑尾炎围术期护理中的应用

Application of ERSA Concept in Perioperative Nursing of Children with Appendicitis Treated by Laparoscopic Surgery

摘要: 目的：探讨ERAS理念在腹腔镜手术治疗小儿阑尾炎围手术期护理中的应用效果。方法：选取2018年6月至2019年6月期间我院收治的阑尾炎患儿80例为研究对象，按照类实验研究方法分为试验组(n = 40)和对照组(n = 40)。对照组采取常规护理方式，试验组在对照组常规护理的基础上，给予基于ERAS理念的护理干预措施。比较两组患儿术后排气排便时间、留置管道时间、住院天数、住院费用、以及患儿家属满意度情况。结果：试验组患儿术后排气排便时间、留置管道时间、住院时间及住院费用均显著低于对照组(P < 0.05)。两组术后患儿家属满意度比较，差异有统计学意义(P < 0.01)。结论：基于ERAS理念的护理干预措施能够缩短阑尾炎患儿术后排气排便时间及留置管道时间，缩短住院时间，降低住院费用，提高患儿家属的满意度，促进患儿快速康复。

Abstract: Objective: To explore the effect of ERAS in perioperative nursing of laparoscopic appendectomy in children. Methods: 80 children with appendicitis admitted to our hospital from June 2018 to June 2019 were selected. They were divided into the experimental group (n = 40) and the control group (n = 40). The control group implements conventional nursing, and the experimental group were given nursing intervention based on the idea of ERAS. The time of defecation, indwelling catheter and hospitalization, the cost of hospitalization and the satisfaction of the family members of the two groups were compared. Results: The time of defecation, indwelling catheter and hospitalization, as well as hospitalization cost in the experimental group were significantly lower than those in the control group (P < 0.05). There was significant difference between the two groups (P < 0.01). Conclusion: Nursing intervention based on ERAS can shorten the time of defecation and indwelling catheter, shorten the time of hospitalization, reduce the cost of hospitalization, improve the satisfaction of the family members of children with appendicitis, and promote the rapid recovery of chil- dren.