Application of ERAS-based operating room nursing in children with congenital hip dislocation
Objective To explore the effect of operating room nursing based on the concept of enhanced recov-ery after surgery(ERAS)in children with congenital hip dislocation.Methods The clinical data of 90 children with congenital hip dislocation who received surgical treatment in Zhengzhou Orthopaedic Hospital from January 2021 to Jan-uary 2024 were retrospectively analyzed.The patients were divided into an observation group(n=45)and a control group(n=45)according to different nursing methods,to receive conventional operating room nursing and operating room nursing based on ERAS concept on the basis of the nursing in the control group,respectively.The operation dura-tion,intraoperative blood loss,recovery time,and anesthesia cooperation were compared between the two groups;the temperature before surgery(T0),after anesthesia induction(T1),at 30 min after surgery(T2),at 60 min after surgery(T3),and at the end of surgery(T4)were compared between the two groups;the changes of glucose(Glu)and cortisol(Cor)at T0 and T4 and the incidence of postoperative complications were also compared.Results The recovery time of the observation group was(18.93±2.17)min,which was significantly shorter than(31.01±3.56)min of the control group(P<0.05).There was no significant difference in intraoperative blood loss and recovery time between the two groups(P>0.05).The excellent and good rate of anesthesia cooperation in the observation group was 91.11%,which was significantly higher than 73.33%in the control group(P<0.05).The temperature at T1,T2,T3 and T4 in the observation group were(36.62±0.34)℃,(36.59±0.36)℃,(36.56±0.33)℃,and(36.58±0.36)℃,which were significantly higher than(36.43±0.31)℃,(36.30±0.26)℃,(36.23±0.22)℃,and(36.17±0.25)℃ in the control group(P<0.05).The Glu and Cor levels at T4 in the observation group were(5.41±0.62)mmol/L and(141.83±18.24)ng/L,which were sig-nificantly lower than(5.98±0.74)mmol/L and(157.67±19.60)ng/L in the control group(P<0.05).The total inci-dence of complications in the observation group was 4.44%,which was significantly lower than 17.78%in the con-trol group(P<0.05).Conclusion Operating room nursing based on ERAS concept can improve anesthesia coopera-tion,maintain intraoperative temperature stability,and relieve stress response in children with congenital hip dislocation.
Congenital hip dislocationOperating room nursingEnhanced recovery after surgery(ERAS)An-esthesia cooperationHypothermiaStress response
万方数据
维普
