摘要目的 探讨快速康复理念在小儿扁桃体、腺样体切除术围手术期护理中的应用效果.方法 选取123例在快速康复理念指导下进行护理的扁桃体、腺样体切除患儿作为研究组,前期在传统理念指导下进行护理的74例患儿的临床资料作为对照组,比较2组患儿术后疼痛评分、住院时间、并发症的发生率及出院时患儿及家属满意度.结果 研究组平均住院日、术后住院日、疼痛评分分别为(4.56 ± 1.28)、(2.37 ± 1.17)d、(1.73 ± 0.91)分,对照组分别为(6.32 ± 1.56)、(3.18 ± 1.34)d、(3.77 ± 0.84)分,2组比较差异有统计学意义(t=2.35、1.97、20.37,P<0.05或0.01).出院时患儿及家属家属满意度比较,差异有统计学意义(χ2=23.05,P<0.01),并发症发生率差异无统计学意义(P>0.05).结论 在小儿扁桃体、腺样体切除术围手术期护理中应用快速康复理念,较传统护理方法相比,可以缩短患儿住院时间,降低术后疼痛程度,提高患儿及家属的满意度,效果显著,值得推广.

abstractsObjective To explore the application effect of fast track surgery in tonsillectomy or adenoidectomy perioperative nursing. Methods Totally 123 Patients with tonsillectomy or adenoidectomy were selected as study group to receive the nursing care under the guidance of the concept of fast track surgery.74 patients with the same surgery from early clinical data who were treated by traditional nursing care were selected as control group. Postoperative pain score, length of hospital stay, the incidence of complications and the families of children with satisfaction were compared between the two groups. Results The average hospital stay was(4.56±1.28)d in the study group and(6.32±1.56)d in the control group. The difference was statistically significant (t=2.35, P<0.01). The postoperative hospital stay was (2.37±1.17)d,the control group was(3.18±1.34)d,the difference between the two groups was statistically significant(t=1.97,P<0.05).Pain score in the study group was 1.73±0.91,in the control group was 3.77± 0.84,the difference between the two groups was statistically significant(t=20.37,P<0.01).There was no significant difference in the incidence of complications between the two groups(P>0.05),and there were statistically significant differences in the satisfaction of children and their families (χ2=23.05,P<0.01). Conclusion Application of fast track surgery concept in the perioperative care of pediatric tonsil adenoidectomy can relieve postoperative pain,shorten the length of hospital stay,improve the satisfaction degree of the patients and their families and is worth of being generalized.