Application of the concept of enhanced recovery after surgery in perioperative period of pediatric patients undergoing robot-assisted laparoscopic pyeloplasty
Objective:To explore the application effect of the concept of enhanced recovery after surgery in perioperative period of robot-assisted laparoscopic pyeloplasty for pediatric patients.Methods:A total of 104 children with hydronephrosis admitted to the First Affiliated Hospital of Air Force Military Medical University from January 2020 to January 2023 were prospectively selected as the research objects,and were divided into two groups by random number table method.52 cases in the control group received routine nursing,and 52 cases in the observation group were treated with optimized perioperative nursing based on the concept of enhanced recovery after surgery(ERAS).Results:The exhaust time,endotracheal intubation time,first feeding time and the first postoperative ambulation time in the observation group were earlier than those in the control group,and the time of catheter removal,drainage tube removal and hospitalization time were shorter than those in the control group.The scores of nursing operation satisfaction,humanistic care satisfaction,communication satisfaction and nursing effect satisfaction in the observation group were higher than those in the control group,with statistical significance(P<0.05).Meanwhile,the incidence of postoperative complications in the observation group was lower than that of the control group,and the total compliance rate was higher than that of the control group,with statistical significance(P<0.05).Conclusion:The optimized perioperative nursing measures based on the concept of ERAS has a significant effect on children with hydronephrosis undergoing robot-assisted laparoscopic pyeloplasty,which could reduce the occurrence of postoperative complications and promote postoperative rehabilitation.
Robot-assisted SurgeryLaparoscopic PyeloplastyEnhanced Recovery after SurgeryPerioperative PeriodHydronephrosis
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