PDF(Pubmed)
Abstract：
BACKGROUND: Enhanced recovery after surgery (ERAS) protocol is a comprehensive management modality that promotes patient recovery, especially in the patients undergoing digestive tumor surgeries. However, it is less commonly used in the appendectomy.
OBJECTIVE: To study the application value of ERAS in laparoscopic surgery for acute appendicitis.
METHODS: A total of 120 patients who underwent laparoscopic appendectomy due to acute appendicitis were divided into experimental group and control group by random number table method, including 63 patients in the experimental group and 57 patients in the control group. Patients in the experimental group were managed with the ERAS protocol, and those in the control group were received the traditional treatment. The exhaust time, the hospitalization duration, the hospitalization expense and the pain score between the two groups were compared.
RESULTS: There was no significant difference in age, gender, body mass index and Sunshine Appendicitis Grading System score between the experimental group and the control group (P > 0.05). Compared to the control group, the patients in the experimental group had earlier exhaust time, shorter hospitalization time, less hospitalization cost and lower degree of pain sensation. The differences were statistically significant (P < 0.01).
CONCLUSIONS: ERAS could significantly accelerate the recovery of patients who underwent laparoscopic appendectomy for acute appendicitis, shorten the hospitalization time and reduce hospitalization costs. It is a safe and effective approach.
OBJECTIVE: To study the application value of ERAS in laparoscopic surgery for acute appendicitis.
METHODS: A total of 120 patients who underwent laparoscopic appendectomy due to acute appendicitis were divided into experimental group and control group by random number table method, including 63 patients in the experimental group and 57 patients in the control group. Patients in the experimental group were managed with the ERAS protocol, and those in the control group were received the traditional treatment. The exhaust time, the hospitalization duration, the hospitalization expense and the pain score between the two groups were compared.
RESULTS: There was no significant difference in age, gender, body mass index and Sunshine Appendicitis Grading System score between the experimental group and the control group (P > 0.05). Compared to the control group, the patients in the experimental group had earlier exhaust time, shorter hospitalization time, less hospitalization cost and lower degree of pain sensation. The differences were statistically significant (P < 0.01).
CONCLUSIONS: ERAS could significantly accelerate the recovery of patients who underwent laparoscopic appendectomy for acute appendicitis, shorten the hospitalization time and reduce hospitalization costs. It is a safe and effective approach.
摘要：
背景：增强术后恢复（ERAS）协议是一种促进患者康复的综合管理方式，尤其是在接受消化道肿瘤手术的患者中。然而,它在阑尾切除术中不太常用。
目的：探讨ERAS在急性阑尾炎腹腔镜手术中的应用价值。
方法：将120例急性阑尾炎行腹腔镜阑尾切除术的患者按随机数字表法分为实验组和对照组。其中实验组63例,对照组57例。实验组患者采用ERAS方案进行管理,对照组采用传统治疗。排气时间，住院时间,比较两组患者的住院费用和疼痛评分。
结果：年龄无显著差异，性别,体质量指数和阳光阑尾炎评分系统评分与对照组比较差异有统计学意义(P>0.05)。与对照组相比,实验组患者的排气时间较早，住院时间短，住院费用少，疼痛感觉程度低。差异有统计学意义(P<0.01)。
结论：ERAS可以显著加速急性阑尾炎腹腔镜阑尾切除术患者的恢复，缩短住院时间,降低住院费用。这是一种安全有效的方法。
目的：探讨ERAS在急性阑尾炎腹腔镜手术中的应用价值。
方法：将120例急性阑尾炎行腹腔镜阑尾切除术的患者按随机数字表法分为实验组和对照组。其中实验组63例,对照组57例。实验组患者采用ERAS方案进行管理,对照组采用传统治疗。排气时间，住院时间,比较两组患者的住院费用和疼痛评分。
结果：年龄无显著差异，性别,体质量指数和阳光阑尾炎评分系统评分与对照组比较差异有统计学意义(P>0.05)。与对照组相比,实验组患者的排气时间较早，住院时间短，住院费用少，疼痛感觉程度低。差异有统计学意义(P<0.01)。
结论：ERAS可以显著加速急性阑尾炎腹腔镜阑尾切除术患者的恢复，缩短住院时间,降低住院费用。这是一种安全有效的方法。
