1.Quantization and effects of early ambulation among children with gastrointestinal operation
Caixiao SHI ; Hehong GENG ; Yingying ZHU ; Xianwei ZHANG
Chinese Journal of Modern Nursing 2019;25(19):2431-2435
Objective? To explore the quantization and effects of early ambulation among children with gastrointestinal operation based on enhanced recovery after surgery (ERAS). Methods? From January to August 2018, 72 children with gastrointestinal operation in general surgery at He'nan Children's Hospital were selected. All of them were randomly divided into two groups. Observation group carried out optimized perioperative nursing based on ERAS, while control group implemented traditional perioperative nursing. Results? After surgery, the amount of postoperative early ambulation of observation group was more than that of control group;and the time of anal exhaust for the first time, defecation and food taking of observation group were earlier than those of control group; and hospital stay as well as cost of observation group were less than those of control group all with statistical differences (P<0.01). However, there were no statistical differences in postoperative complications and amounts of postoperative early ambulation among children with different ages (P> 0.05). Conclusions? With ERAS perioperative treatment, early ambulation not only can promote exhaust, defecation and early foot taking, but also can reduce postoperative hospital stay as well as cost.
2.Application of enhanced recovery after surgery in perioperative treatment of type biliary dilatation in children
Xianwei ZHANG ; Yingping JIA ; Fei ZHANG ; Yingying ZHU ; Hehong GENG ; Lin YAN ; Ruyi LIU ; Xin FENG ; Guangjun HOU ; Wancun ZHANG
Chinese Journal of Hepatobiliary Surgery 2019;25(8):582-586
Objective To study the clinical value of enhanced recovery after surgery (ERAS) in the perioperative treatment of type Ⅰ (Todami,1975) biliary dilatation (BD) of children.Methods To retrospectively analyze the data of children with type Ⅰ BD who were treated in the General Surgery Department of Zhengzhou Children's Hospital from June 2014 to May 2018.A total of twenty children with type Ⅰ BD treated with ERAS and 20 children treated with the traditional method in our department were selected in this study using the random number table method.Postoperative indicators (including operation time,first defecation time,changes in amylase in blood and abdominal cavity exudates,length of hospital stay,and hospitalization fee) and relevant postoperative complications (including sore throat,nausea and vomiting,urethral pain,upper respiratory tract infection,incision wound infection,adhesive intestinal obstruction,anastomotic leakage and pancreatic fistula) of the ERAS group and the control group were compared.Results The first defecation time,length of hospital stay and hospitalization fee were significantly lower in the ERAS group than the control group (all P < 0.05) [first defecation time (1.98 ± 0.25) d vs.(2.25 ± 0.31) d;length of hospital stay (6.91 ± 1.25) d vs.(9.95 ± 1.53) d;hospitalization fee (23.32 ± 2.25)thousand yuan vs.(25.99 ±3.10) thousand yuan].Moreover,the incidences of sore throat,nausea and vomiting,urethral pain and upper respiratory tract infection were significantly lower in the ERAS group than the control group (all P < 0.05) [the incidences of sore throat (5.0% vs.45.0%);the incidences of sickness and vomiting (5.0% vs.30.0%);the incidences of urethral pain (5.0% vs.45.0%);the incidences of upper respiratory tract infection (5.0% vs.40.0%)].On the other hand,there were no significant differences in the mean operation times,changes in amylase levels in the blood or abdominal cavity exudates,incision wound infection,and incidences of adhesive intestinal obstruction,anastomotic leakage and pancreatic fistula (all P > 0.05).Conclusions ERAS for type Ⅰ BD surgery was safe and reliable in children.It effectively promoted recovery of postoperative gastrointestinal function and reduced the incidence of complications.