Du Li. Application value of enhanced recovery after surgery(ERAS) in patients received bilioenteric anastomosis during perioperative period. [J]. Health Medicine Research and Practice 14(3):55-58(2017)
Du Li. Application value of enhanced recovery after surgery(ERAS) in patients received bilioenteric anastomosis during perioperative period. [J]. Health Medicine Research and Practice 14(3):55-58(2017)DOI:
Application value of enhanced recovery after surgery(ERAS) in patients received bilioenteric anastomosis during perioperative period
Objective To discuss application value of enhanced recovery after surgery(ERAS)in patients received bilioenteric anastomosis during perioperative period.Methods From December 2012 to December 2014 a total of 60 patients with hepatic caculus in hospital of Hefei were selected and randomly divided into observation group(n=30)and control group(n=30).All the patients were recieved bilioenteric anastomosis and ERAS was applied during perioperative period for the observation group
while the control group were treated traditionally.In the comparison between 2groups after surgery
time of anal exhaust
defecation time
postoperative activity out of bed days
time of removing peritoneal drainage tube
hospital stays and complications.Meanwhile C-reactive protein(CRP)
prealbumin(PA)and total bilirubin(TBIL)levels of 2groups were detected and compared on 1day
3days
and 6days after surgery.Results The time of anal exhaust
defecation time
postoperative activity out of bed days
time of removing peritoneal drainage tube
hospital stays of observation group were shorter than the control group and the difference was significant(P<0.05);the incidence rate of throat ache and nausea/vomiting of observation were lower than the control group and the difference was significant(P<0.05);on the 1st
3rd and 6th day after the surgery the CRP levels of observation group were lower than the control group and the difference was significant(P<0.01);on the 3rd day and 6th day after the surgery the PA levels of observation were higher than the control group and the difference was significant(P<0.01).Conclusion Application of ERAS could reduce the bad stress reaction of patients during perioperative period and promote recovery of gastrointestinal function and postoperative rehabilitation
therefore shorten hospital stays
which is worth clinical expansion.
关键词
加速康复外科肝胆管结石胆肠吻合术
Keywords
Enhanced recovery after surgeryHepatic calculusBilioenteric anastomosis