【摘要】 目的：观察专科护士主导的快速康复外科（ERAS）护理在先天性巨结肠手术患儿中的应用效果。方法：选取2017年4月至2019年2月该院收治的66例先天性巨结肠患儿进行前瞻性研究，根据随机数字表法将其分为研究组（n=33）与对照组（n=33）。对照组实施常规护理，研究组采用专科护士主导的ERAS护理，比较两组术后恢复相关指标（肛门首次排气时间、首次进食时间、住院时间）水平、术后并发症发生率和家长护理满意度。结果：研究组术后肛门首次排气时间、首次进食时间、住院时间均短于对照组，差异有统计学意义（P<0.05）；研究组术后并发症发生率为6.06%(2/33)，低于对照组的27.27%(9/33)，差异有统计学意义（P<0.05）；研究组家长护理满意度为96.97%，高于对照组75.76%，差异有统计学意义（P<0.05）。结论：专科护士主导的ERAS护理应用于先天性巨结肠手术患儿中可提高护理满意度，以及改善术后恢复相关指标水平和术后并发症发生率的效果优于常规护理。更多还原

【Abstract】 Objective: To explore application effects of specialist nurse-led enhanced recovery after surgery(ERAS) nursing in children with congenital megacolon surgeries. Methods: A prospective study was conducted on 66 children with congenital megacolon admitted to the hospital from April 2017 to February 2019. According to the random number table method, they were divided into study group(n=33) and control group(n=33). The control group was given routine nursing, while the study group was given the specialist nurse-led ERAS nursing. The levels of postoperative recovery-related indexes(first anal exhaust time, first feeding time, hospitalization time), the incidence of postoperative complications, and the parental nursing satisfaction were compared between the two groups. Results: The first anal exhaust time, the first feeding time and the hospitalization time in the study group were shorter than those in the control group, and the differences were statistically significant(P<0.05). The incidence of postoperative complications in the study group was 6.06%(2/33), which was lower than 27.27%(9/33) in the control group, and the difference was statistically significant(P<0.05). Further, the nursing satisfaction of parents in the study group was 96.97%, which was higher than 75.76% in the control group, and the difference was statistically significant(P<0.05). Conclusions: The specialist nurse-led ERAS nursing in the children with congenital megacolon surgery can improve nursing satisfaction, and reduce the levels of postoperative recovery related indexes and the incidence of postoperative complications. Moreover, it is superior to the routine nursing.更多还原