Gao Ruyue, Yang Heying, Li Yanan, Meng Lingbing, Li Yaping, Sun Beibei, Zhang Guofeng, Yue Ming, Guo Fei
Department of Pediatric Surgery, The First Affiliated Hospital, Zhengzhou University, Zhengzhou, China.
Basic Medical College, Hebei Medical University, Shijiazhuang, China.
J Int Med Res. 2019 Oct;47(10):4815-4826. doi: 10.1177/0300060519865350. Epub 2019 Aug 4.
Enhanced recovery after surgery (ERAS) protocols help optimize inpatient care and minimize discomfort. This study was performed to explore the safety, feasibility, and clinical and social value of ERAS in pediatric gastrointestinal surgery.
This study included all children (n = 125) who underwent appendectomy, pyloromyotomy, transabdominal Soave’s procedure, Meckel’s diverticulum resection, or reduction of intussusception in our institution from January to September 2018. We compared surgical outcomes between children who underwent surgery under conventional perioperative regimens (control group, n = 57) and those who were treated with ERAS protocols (ERAS group, n = 68).
There were no significant intergroup differences in demographic or surgical data. However, the bowel function recovery time, postoperative intravenous nutrition time, duration of postoperative hospital stay, and hospital costs were significantly lower in the ERAS group than control group. There was no significant intergroup difference in the complication rate.
Our results indicate that implementation of ERAS protocols is safe and feasible in pediatric gastrointestinal surgery. They can improve patient comfort, shorten the duration of the postoperative hospital stay, reduce hospital costs, and accelerate postoperative rehabilitation without increasing the risk of postoperative complications. Therefore, ERAS protocols deserve wider implementation and promotion.
术后加速康复（ERAS）方案有助于优化住院治疗并将不适降至最低。本研究旨在探讨ERAS在小儿胃肠手术中的安全性、可行性以及临床和社会价值。
本研究纳入了2018年1月至9月在我院接受阑尾切除术、幽门肌切开术、经腹Soave手术、梅克尔憩室切除术或肠套叠复位术的所有儿童（n = 125）。我们比较了在传统围手术期方案下接受手术的儿童（对照组，n = 57）和接受ERAS方案治疗的儿童（ERAS组，n = 68）的手术结果。
两组在人口统计学或手术数据方面无显著差异。然而，ERAS组的肠功能恢复时间、术后静脉营养时间、术后住院时间和住院费用均显著低于对照组。两组并发症发生率无显著差异。
我们的结果表明，ERAS方案在小儿胃肠手术中的实施是安全可行的。它们可以提高患者舒适度，缩短术后住院时间，降低住院费用，并加速术后康复，而不会增加术后并发症的风险。因此，ERAS方案值得更广泛地实施和推广。
