Liu Haonan,Zhang Xuejun,Li Duoyi,et al.Efficacy of enhanced recovery after surgery for children with congenital spinal scoliosis during perioperative period[J].Journal of Clinical Pediatric Surgery,,20():447-452.[doi:10.12260/lcxewkzz.2021.05.010]
Efficacy of enhanced recovery after surgery for children with congenital spinal scoliosis during perioperative period
- Keywords:
- Enhanced Recovery After Surgery; Scoliosis/SU; Scoliosis/CN
- CLC:
- R726.8;R682.3
- Abstract:
- Objective To explore the clinical efficacy of enhanced recovery after surgery (ERAS) for childrens with congenital spinal scoliosis.Methods From July 2020 to October 2020,a total of 27 childrens with congenital spinal scoliosis undergoing posterior spinal osteotomy and fusion with pedicle screws were recruited.There were 7 boys and 20 girls with a mean age of 7.3 years.They were managed according to the ERAS protocol including admission consueling,enhanced nutrition,shorter fasting,optimized anesthesia and multimodal pain management.The relevant data of operation,feeding,blood glucose,pain,laboratory tests and complications were collected.Results All operations were completed successfully.The operative duration was 252.6 min and the number of fused levels was 3.The volume of blood loss was 524.8 ml and the correction rate for deformity was 77.9%.The perioperative fasting duration was 9.0 h and the levels of blood glucose remained stable.Pain was mild and pain scores fluctuated at Day 3 post-operation.The peak level of interleukin-6 (IL-6) occurred at Day 1 post-operation and it was correlated with preoperative blood glucose,postoperative pain score and postoperative amount of food intake.The peak level of C-reactive protein (CRP) occurred at Day 3 post-operation and it was correlated with preoperative nutrition status,postoperative volume of intravenous fluid and postoperative body temperature.Seven cases (8 person occasions) developed the complications of abdominal pain and distension.No specific intervention was taken.There was no onset of bucking,aspiration,infection or vomiting.Conclusion As an effective and safe protocol for congenital spinal scoliosis,ERAS may improve therapeutic efficacy and it is worth a wider popularization.
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Memo
收稿日期:2020-12-20。
基金项目:国家重点研发计划（编号：2016YFC1000806）
通讯作者:张学军,Email:zhang-x-j04@163.com