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加速康复护理对降低国内儿童日间手术术后并发症的有效性meta分析

刘诗卉 杨陈 刘俊宏 敖伟 张学兵

现代医药卫生2023,Vol.39Issue(23):4046-4050,5.
现代医药卫生2023,Vol.39Issue(23):4046-4050,5.DOI:10.3969/j.issn.1009-5519.2023.23.019

加速康复护理对降低国内儿童日间手术术后并发症的有效性meta分析

Meta-analysis of the effectiveness of enhanced recovery after surgery nursing in reducing postoperative complications of day surgery in children

刘诗卉 1杨陈 1刘俊宏 1敖伟 1张学兵1

作者信息

  • 1. 重庆医科大学附属儿童医院日间外科/国家儿童健康与疾病临床医学研究中心/儿童发育疾病研究教育部重点实验室/儿科学重庆市重点实验室,重庆 400014
  • 折叠

摘要

Abstract

Objective To systematically evaluate the effect of accelerated rehabilitation nursing on re-ducing postoperative complications in children undergoing day surgery by searching domestic literature.Meth-ods PubMed,CNKI,Wanfang and other databases were searched for literatures related to accelerated rehabil-itation nursing in children's day surgery mode from the establishment of the database to June 2022.The full text and its references were carefully read and judged to determine the included studies.After extracting the data,RevMan5.3 was used for meta-analysis.Results A total of 2 059 cases were included in the six studies,including 979 cases of accelerated rehabilitation nursing and 1 080 cases of routine nursing.Compared with the postoperative complications,there were significant differences in the postoperative recovery time[odds ratio(OR)=-8.62,95%CI-9.50--7.73,P<0.000 01],the incidence of postoperative nausea and vomiting(OR=0.26,95%CI 0.14-0.48,P<0.000 01)and fever(OR=0.47,95%CI 0.25-0.91,P=0.02).Conclu-sion The application of accelerated rehabilitation nursing in children's day surgery has significant advantages in early postoperative recovery,reducing the incidence of postoperative nausea and vomiting and postoperative fever.

关键词

日间手术/儿童/围手术期护理/加速康复/术后并发症/Meta分析

Key words

Day surgery/Children/Perioperative nursing care/Accelerate rehabilitation/Post-operative complications/Meta-analysis

分类

医药卫生

引用本文复制引用

刘诗卉,杨陈,刘俊宏,敖伟,张学兵..加速康复护理对降低国内儿童日间手术术后并发症的有效性meta分析[J].现代医药卫生,2023,39(23):4046-4050,5.

基金项目

重庆市科卫联合医学科研项目(2021MSXM230). (2021MSXM230)

现代医药卫生

1009-5519

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