Application of enhanced recovery after surgery concept of multi-disciplinary treatment medical treatment for congenital duodenal obstruction during perioperative period

Q4 Medicine

中华小儿外科杂志 Pub Date : 2019-12-15 DOI:10.3760/CMA.J.ISSN.0253-3006.2019.12.009

Ling Liu, Qiang Bai, Chao Li, Yuhui Jiang, Lingyu Zhou, Min Xi, Shudi Yang

{"title":"Application of enhanced recovery after surgery concept of multi-disciplinary treatment medical treatment for congenital duodenal obstruction during perioperative period","authors":"Ling Liu, Qiang Bai, Chao Li, Yuhui Jiang, Lingyu Zhou, Min Xi, Shudi Yang","doi":"10.3760/CMA.J.ISSN.0253-3006.2019.12.009","DOIUrl":null,"url":null,"abstract":"Objective \nTo explore the feasibility and clinical efficacy of enhanced recovery after surgery (ERAS) concept of multi-disciplinary treatment (MDT) medical mode in perioperative application of congenital duodenal obstruction. \n \n \nMethods \nFrom June 2015 to December 2017, retrospective analysis was performed for 60 cases with congenital duodenal obstruction. According to parental wishes, they were divided into research group (ERAS of MDT mode, n=30) and control group (traditional methods, n=30), which were compared in postoperative milk for initial open time, operative duration, postoperative parenteral nutrition using days, postoperative complications, length of time and hospitalization expenses, etc. \n \n \nResults \nTime of initial milk intake, days of using parenteral nutrition and hospital stay in ERAS group were shorter than those of control group [(56.45±6.18) vs. (140.40±1.00) hours, (7.35±1.46) vs. (17.25±3.59) days and (11.2±1.76) vs. (22.3±4.15) days. And the differences were statistically significant (P 0.05). During a follow-up period of 8-12 weeks, no incisional infection or adhesive intestinal obstruction occurred in ERAS group and there was only 1 case (3.3%) of adhesive intestinal obstruction in control group. \n \n \nConclusions \nERAS concept of MDT medical mode is both safe and effective for perioperative management of children with congenital duodenal obstruction. It offers the advantages of reducing pains, accelerating postoperative rehabilitation and shortening hospitalization time. \n \n \nKey words: \nInfant; Duodenal obstruction; Enhanced recovery after surgery","PeriodicalId":10157,"journal":{"name":"中华小儿外科杂志","volume":"4 1","pages":"1108-1112"},"PeriodicalIF":0.0000,"publicationDate":"2019-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"2","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"中华小儿外科杂志","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3760/CMA.J.ISSN.0253-3006.2019.12.009","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}

引用次数: 2

Abstract

Objective To explore the feasibility and clinical efficacy of enhanced recovery after surgery (ERAS) concept of multi-disciplinary treatment (MDT) medical mode in perioperative application of congenital duodenal obstruction. Methods From June 2015 to December 2017, retrospective analysis was performed for 60 cases with congenital duodenal obstruction. According to parental wishes, they were divided into research group (ERAS of MDT mode, n=30) and control group (traditional methods, n=30), which were compared in postoperative milk for initial open time, operative duration, postoperative parenteral nutrition using days, postoperative complications, length of time and hospitalization expenses, etc. Results Time of initial milk intake, days of using parenteral nutrition and hospital stay in ERAS group were shorter than those of control group [(56.45±6.18) vs. (140.40±1.00) hours, (7.35±1.46) vs. (17.25±3.59) days and (11.2±1.76) vs. (22.3±4.15) days. And the differences were statistically significant (P 0.05). During a follow-up period of 8-12 weeks, no incisional infection or adhesive intestinal obstruction occurred in ERAS group and there was only 1 case (3.3%) of adhesive intestinal obstruction in control group. Conclusions ERAS concept of MDT medical mode is both safe and effective for perioperative management of children with congenital duodenal obstruction. It offers the advantages of reducing pains, accelerating postoperative rehabilitation and shortening hospitalization time. Key words: Infant; Duodenal obstruction; Enhanced recovery after surgery

查看原文本刊更多论文

多学科综合治疗理念在先天性十二指肠梗阻围手术期医学治疗中的应用

目的探讨术后增强恢复(ERAS)概念多学科治疗(MDT)医学模式在先天性十二指肠梗阻围手术期应用的可行性及临床疗效。方法对2015年6月至2017年12月收治的60例先天性十二指肠梗阻患者进行回顾性分析。根据家长意愿将患儿分为研究组(MDT模式ERAS, n=30)和对照组(传统方法，n=30)，比较两组患儿术后开乳时间、手术时间、术后肠外营养使用天数、术后并发症、时间长短、住院费用等情况。结果ERAS组患儿初乳时间、肠外营养使用天数、住院时间均短于对照组[(56.45±6.18)∶(140.40±1.00)小时，(7.35±1.46)∶(17.25±3.59)天，(11.2±1.76)∶(22.3±4.15)天]。差异有统计学意义(p0.05)。随访8 ~ 12周，ERAS组未发生切口感染和粘连性肠梗阻，对照组仅发生粘连性肠梗阻1例(3.3%)。结论ERAS概念的MDT医疗模式对儿童先天性十二指肠梗阻围手术期治疗安全有效。具有减轻疼痛、加快术后康复、缩短住院时间等优点。关键词:婴幼儿;十二指肠梗阻;增强术后恢复

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

中华小儿外科杂志 Medicine-Pediatrics, Perinatology and Child Health

CiteScore

0.40

自引率

0.00%

发文量

8707

期刊介绍： Chinese Journal of Pediatric Surgery is an academic journal sponsored by the Chinese Medical Association. It mainly publishes original research papers, reviews and comments in this field. The journal was founded in 1980 and is included in well-known databases such as Peking University Journal (Chinese Journal of Humanities and Social Sciences) and CSCD Chinese Science Citation Database Source Journal (including extended version). It is one of the national key academic journals under the supervision of the China Association for Science and Technology. Chinese Journal of Pediatric Surgery enjoys a high reputation and influence in the academic community. The articles published in this journal have a high academic level and practical value, providing readers with a large number of practical cases and industry information, and have received widespread attention and citations from readers.