摘要
[目的]探讨加速康复外科(ERAS)在痉挛型脑瘫患儿治疗中的应用效果。[方法]2014年10月~2017年9月就诊于本院符合纳入标准的痉挛型脑瘫患儿100例,随机分为ERAS治疗组(52例)和常规治疗组(48例)。比较两组的平均住院日、术后每日平均输液量、术后第3 d和第5 d视觉模拟评分量表(VAS)疼痛评分、住院费用、术后并发症发生率、患者满意度。[结果]两治疗组患儿治疗前基线资料差异无统计学意义(P>0.05)。ERAS治疗组患儿平均住院日、术后每日平均输液量、术后第3 d和第5 d VAS疼痛评分、住院费用、术后并发症发生率均显著低于常规治疗组,差异有统计学意义(P<0.05)。ERAS治疗组患者满意度显著高于常规治疗组,差异有统计学意义(P<0.05)。[结论]针对痉挛型脑瘫患儿,ERAS治疗方案能够缩短平均住院日、降低术后每日平均输液量、减轻术后疼痛、减少和降低住院花费及术后并发症发生率,提升患者满意度。
[Objective] To investigate the clinical outcomes of enhanced recovery after surgery（ERAS） for spastic cerebral palsy in children. [Methods] From October 2014 to September 2017, 100 children who met the inclusion criteria of spastic cerebral palsy were randomly divided into ERAS treatment group（52 children） and conventional treatment group（48 children） in the Third of Shandong Provincial Hospital. The hospital stay, daily average of infusion amount, visual analogue scale（VAS） of pain at 3 and 5 days postoperatively, hospitalization expenses, incidence of postoperative complications and patients＇ satisfaction were compared between the two groups. [Results] There was no statistically significant difference in baseline data before treatment between the two groups（P〉0.05）. The ERAS group proved significantly lower than the conventional group in hospitalization days, daily average of infusion amount, visual analogue scale（VAS） of pain at 3, 5 days postoperatively, hospitalization expenses and incidence of postoperative complications with statistical differences between them（P〈0.05）. Contrariwise, the ERAS group was considerably superior to the conventional group in patient.s satisfaction（P〈0.05）. [Conclusion] The ERAS does shorten hospital stay, reduce the daily average of infusion amount, relieve postoperative pain, decrease hospitalization cost and the incidence of postoperative complications, while improve patient.s satisfaction for spastic cerebral palsy in children.
作者
林永杰
王国伟
耿震
苏文珍
王炳臣
LIN Yong-jie;WANG Guo-wei;GENG Zhen;SU Wen-zhen;WANG Bing-chen(Department of Orthopedics,The Third Shandong Provincial Hospital,Jinaa 250031,China)
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2018年第13期1198-1201,共4页
Orthopedic Journal of China
关键词
加速康复外科
痉挛型脑瘫
视觉模拟评分量表
粗大运动功能测试量表
enhanced recovery after surgery （ERAS）
spastic cerebral palsy
visual analogue scale （VAS）
gross mo-tor function measure （GMFM）
