Study on the application of ERAS concept in the perioperative period of pediatric hypospadias
ERAS理念在小儿尿道下裂围手术期的应用研究

摘要

目的 探讨快速康复理念在小儿尿道下裂围手术期的应用效果。方法 选取2023年11月-2024年10月宁夏医科大学总医院小儿外科收治的94例尿道下裂手术患儿进行研究，采用随机数字法分为干预组（n=48例）和对照组（n=46例）。干预组采用ERAS理念指导下的围手术期护理，对照组采用传统围手术期护理模式。比较两组的护理效果。结果 干预组术后首次排便时间、住院时间均低于对照组（P＜0.05）；干预组医疗恐惧、疼痛评分均低于对照组，医疗依从性和家属满意度高于对照组（P＜0.05）。干预组术后并发症发生率低于对照组（P＜0.05）。结论 ERAS理念在小儿尿道下裂围手术期护理中应用可显著缩短患儿术后首次排便时间和住院时间，缓解患儿医疗恐惧和疼痛程度，提高患儿医疗依从性和家属满意度，降低术后并发症发生率，有较高应用价值。

Abstract

Objective To explore the application effect of the Enhanced Recovery After Surgery (ERAS) concept in the perioperative period of children with hypospadias.
Methods 94 children who underwent hypospadias surgery at the Department of Pediatric Surgery of Ningxia Medical University General Hospital from November 2023 to October 2024 were selected for the study. They were randomly divided into an intervention group (n=48) and a control group (n=46) using a random number method. The intervention group received perioperative care guided by the ERAS concept, while the control group received traditional perioperative care. Compare the nursing effects of two groups.
Results The first defecation time and hospitalization time in the intervention group were lower than those in the control group after surgery (P<0.05); The intervention group had lower scores for medical fear and pain compared to the control group, and higher scores for medical compliance and family satisfaction (P<0.05). The incidence of postoperative complications in the intervention group was lower than that in the control group (P<0.05).
Conclusion   The application of ERAS concept in perioperative nursing of children with hypospadias can significantly shorten the first bowel movement time and hospitalization time after surgery, alleviate the medical fear and pain level of children, improve their medical compliance and family satisfaction, reduce the incidence of postoperative complications, and has high application value.