加速康复外科理念在1~3岁日间疝手术中的应用

doi:10.6040/j.issn.1671-7554.0.2020.0670

Abstract

Abstract: Objective To explore the application of enhanced recovery after surgery(ERAS)in pediatric day hernia surgery for children aged 1 to 3 years. Methods The clinical data of 1 100 children(1-3 years old)with inguinal hernia treated with day surgery during July. 2018 and Sep. 2019 were retrospectively analyzed. The children were divided into the ERAS group(n=550)and control group(n=550). The difference in the distribution of basic characteristics were compared between the two groups with Mann-Whitney U and Chi-square test. The postoperative indexes were compared with Chi-square test and binary Logistic regression analysis. Results There were no significant differences in age, gender and weight between the two groups(P>0.05). The ERAS group was better in hunger score, VAS score, Ramsay sedation score and postoperative complications than the control group(P<0.01). Logistic regression analysis showed that the control group had significantly higher risk of postoperative complications than the ERAS group(OR=4.41, 95%CI: 1.475-13.204). Conclusion ERAS has more advantages over standardized treatment in day hernia surgery, and it is worth popularizing in clinical practice.

Key words: Enhanced recovery after surgery, Pediatric surgery, Inguinal hernia, Laparoscopic high ligation of hernia sac

CLC Number:

R726

WANG Bo, XIONG Ying, NI Zhifu, QU Zhenfan. Application of ERAS in day hernia surgery for children aged 1 to 3 years[J].Journal of Shandong University (Health Sciences), 2020, 58(12): 92-96.

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Application of ERAS in day hernia surgery for children aged 1 to 3 years

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