Peng Kun,Zhou Chonggao,Li Bixiang,et al.Application of enhanced recovery after surgery in perioperative managemengt of biliary atresia[J].Journal of Clinical Pediatric Surgery,,18():1043-1048.[doi:10.3969/j.issn.1671-6353.2019.12.011]
Application of enhanced recovery after surgery in perioperative managemengt of biliary atresia
- CLC:
- R726;R493;R657.4+4
- Abstract:
- Objective To investigate the effectiveness of enhanced recovery after surgery in perioperative period of biliary atresia.Methods 28 patients diagnosed with biliary atresia and underwent Kasai operation in Neonatal surgery department,Hunan Children’s Hospital from October 2018 to February 2019 were included as ERAS observation group,and the management mode of enhance drecovery after surgery was adopted during the perioperative period.20 patients who were diagnosed with biliary atresia and underwent the same surgery in Neonatal surgery department,Hunan Children’s Hospital from June 2018 to September 2018 were included as control group,adopt the conventional management mode.Compare the operation time,blood loss,and maintenance time of parenteral nutrition after operation,time recovering to oral-feeding after operation,postoperative complications (bleeding,incision infection,anastomotic fistula,upper respiratory infection and cholangitis),length and cost of hospital stay after surgery between the two groups.Results There is no significant difference between the two group in age,classification,operation time and blood loss.However,the time recovering to oral-feeding after operation[(61.5±9.78)h vs (150.7±15.96)h],maintenance time of parenteral nutrition after operation[(7.82±0.94)d vs (11.7±1.13)d],length of hospital stay[(12.04±1.00)d vs (15.35±1.57)d] and hospitalization expense[(40 431±1471)yuan vs (44 824±3 129)yuan] are significantly shortened in ERAS observation group.There is 1 case in the control group underwent reoperation because of anastomotic fistula,but there is no significant difference in postoperative complications between two groups.There is no patients readmission and death cases in both groups.Conclusion ERAS therapy in perioperative period of biliary atresia patients underwent Kasai operation can reduce trauma stress,enhance recovery and reduce hospitalization expense.
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Memo
收稿日期:2019-06-26。
基金项目:湖南省科技重大专项（编号：2019SK1015）；湖南省自然科学基金（编号：2017JJ2141）
通讯作者:周崇高,Email:zhouchonggao@sina.com