Qi Jinlian,Jia Yingping,Zhang Xianwei,et al.Application of enhanced recovery after surgery in perioperative treatment of pediatric dislocation of hip joint[J].Journal of Clinical Pediatric Surgery,,20():962-967.[doi:10.12260/lcxewkzz.2021.10.013]
Application of enhanced recovery after surgery in perioperative treatment of pediatric dislocation of hip joint
- Keywords:
- Enhanced Recovery After Surgery; Hip Dislocation/SU; Hip Joint; Perioperative Period; Child
- CLC:
- R726.8;R681.6
- Abstract:
- Objective To explore the clinical values of enhanced recovery after surgery (ERAS) during perioperative period of pediatric developmental dislocation of the hip (DDH).Methods Between May 2017 and May 2019, 76 children undergoing DDH correction were enrolled.They were randomly assigned into two groups of ERAS and control (n=38 each).Control group received regular perioperative treatment while ERAS group underwent enhanced recovery after surgery.General profiles (including gender, age, weight, operative duration & blood loss, etc.), Wong Banker Facial Expressions Scale-Revised (FPS-R), pain score (CRIES) and sedation score (Ramsay) at postoperative 6/12/24 h were recorded in both groups.At the same time, radial arterial blood samples were taken at different postoperative timepoints to detect the plasma concentrations of tumor necrosis factor alpha (TNA-alpha) and interleukin 6 (IL-6).Then the incidence of adverse reactions was recorded after treatment.Results FPS-R and CRIES scores were lower in ERAS group than those in control group (P<0.05).Ramsay scores at different timepoints after treatment were higher in ERAS group than those in control group (P<0.05).After treatment, the levels of TNA-alpha and IL-6 at all timepoints were lower in ERAS group than those in control group (P<0.05).Regarding the incidence of adverse reactions, ERAS and control groups were 2.63% and 15.78% respectively and ERAS group was lower than control group (P<0.05).Conclusion ERAS is both safe and reliable during DDH operations.It can markedly reduce the production of inflammatory factors and related occurrence of complications.
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Memo
收稿日期:2021-03-08。
基金项目:河南省医学科技攻关计划（编号：2018020689、LHGJ20190956）
通讯作者:贾英萍,Email:jayingping@sohu.com