Effect of Fast-Track Surgery Nursing Intervention Combined with Probiotic Nutrition Therapy on Children During the Peri-Operative Period of Thoracoscopic Lobectomy
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引用次数: 0
Abstract
This study aims to investigate the feasibility and efficacy of fast-track surgery (FTS) nursing intervention and probiotic nutrition therapy in children during the peri-operative period of precise thoracoscopic lobectomy. A retrospective analysis was conducted on a total of 479 children
who underwent the surgery at the pediatric department of the West China Hospital, Sichuan University between January 2011 and January 2018. The patients were divided into two groups: the traditional rehabilitation group (A, n = 78) and the rapid rehabilitation group with FTS and probiotic
nutrition therapy (B, n = 401). No significant differences were observed in general information and the incidence of postoperative complications (P >0.05). However, the B group had significantly reduced early out-of-bed activity time, early resumption of oral feeding time,
intubation duration, and length of hospital stay (P <0.05). Furthermore, patients in the B group had higher nutritional indexes compared to those in the A group. The levels of Bifidobacterium and Lactobacillus in the B group were higher, while the levels of Enterobacterium
and Enterococcus were lower than those in the A group. Additionally, the patients and their families in the B group exhibited higher levels of nursing satisfaction (P <0.05). The combination of FTS nursing intervention and probiotic nutrition therapy improved peri-operative
outcomes without increasing the incidence of complications. Therefore, our findings support the feasibility, safety, and efficacy of thoracoscopic lobectomy with FTS care in pediatric patients, highlighting its potential as a promising surgical intervention.
本研究旨在探讨儿童精准胸腔镜肺叶切除术围手术期快速手术(FTS)护理干预及益生菌营养治疗的可行性及疗效。回顾性分析了2011年1月至2018年1月期间在四川大学华西医院儿科接受该手术的479名儿童。将患者分为两组:传统康复组(A, n = 78)和快速康复组(B, n = 401)。两组一般资料及术后并发症发生率比较,差异无统计学意义(P >0.05)。B组患儿早下床活动时间、早恢复口服喂养时间、插管时间、住院时间均显著减少(P <0.05)。此外,B组患者的营养指标高于A组。B组双歧杆菌和乳杆菌含量高于A组,肠杆菌和肠球菌含量低于A组。B组患者及其家属的护理满意度较高(P <0.05)。FTS护理干预与益生菌营养治疗相结合改善了围手术期预后,且未增加并发症的发生率。因此,我们的研究结果支持了胸腔镜肺叶切除术联合FTS治疗儿科患者的可行性、安全性和有效性,强调了其作为一种有前景的手术干预的潜力。