目的：探讨基于循证的围手术期管理在机器人巨结肠手术患儿中的应用效果。方法：选取2018 年1 月—2021 年10 月在华中科技大学同济医学院附属协和医院小儿外科住院治疗的175 例行机器人巨结肠手术的患儿为研究对象，根据家属意愿将患儿分为观察组和对照组，其中观察组117 例，对照组58 例。观察组实施基于循证的围术期管理路径，对照组实施常规护理措施。比较两组患儿术后首次排气时间、术后进食时间、术后疼痛评分、住院

时间、住院费用及满意度、术后并发症发生情况等。结果：与对照组比较，观察组肛门首次排气时间、术后进食时间、术后疼痛评分、住院时间、住院费用及满意度、术后并发症发生情况等均显著优于对照组（P<0.01）。结论：基于循证构建的围手术期管理路径在机器人巨结肠手术患儿中的应用具有安全性和有效性，既缩短了住院时间，也提高了满意度，是一种可行、高效的围手术期护理管理方法。

Objective: To investigate the effect of evidence-based perioperative management in children with Hirschsprung disease under robotic surgery. Methods: A total of 175 children who underwent robotic megacolon surgery in Union Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology from January 2018 to October 2021 were selected and divided into the observation group(117 cases) and control group (58 cases)according to the wishes of their families. Evidence-based perioperative management was implemented in the observation group, and routine nursing measures were implemented in the control group. The first exhaust time after surgery, postoperative feeding time, postoperative pain score,length of hospital stay, hospitalization cost, patient satisfaction, and postoperative complications were compared between the two groups. Results: Compared with the control group, the time of first anal exhaust, postoperative feeding time, postoperative pain score, hospitalization time, hospitalization cost, patient satisfaction, and postoperative complications in the observation group were significantly better than those in the control group (P<0.01). Conclusion: The application of evidence-based perioperative management in children undergoing robotic megacolon surgery is safe and effective, which could not only shorten the length of hospital stay, but also improve patient satisfaction. It is a feasible and efficient perioperative nursing management method.

收稿日期：2022-03-22 录用日期：2022-09-06

Received Date: 2022-03-22 Accepted Date: 2022-09-06

基金项目：湖北省自然科学基金科研项目（2019CFB725）

Foundation Item: Natural Science Foundation of Hubei Province (2019CFB725)

通讯作者：汤绍涛，Email：tshaotao83@126.com

Corresponding Author: TANG Shaotao, Email: tshaotao83@126.com

引用格式：史雯嘉，熊紫薇，黄燕，等. 基于循证的围手术期管理在机器人巨结肠手术患儿中的应用实践[J]. 机器人外科学杂志（中英文），2023，4（2）：133-140.

Citation: SHI W J, XIONG Z W, HUANG Y, et al. Application of evidence-based perioperative management in children with Hirschsprung disease under robotic surgery [J]. Chinese Journal of Robotic Surgery, 2023, 4(2): 133-140.

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