Application of the Idea of Enhanced Recovery After Surgery in the Operations for Colorectal Tumors
LI Chao,XU Jing,ZHANG Shuai
Department of General Surgery, Tianjin Union Medical Center, Tianjin300121, China
Abstract:
Objective To explore the effect and safety of administration of the idea of enhanced recovery after surgery (ERAS) in the operations for colorectal tumors. Methods 45cases of colorectal tumors were divided into the ERAS group (24 cases) and the control group (21 cases) randomly. The two groups were treated with ERAS measures and traditional measures respectively in perioperative period. The recovery indicators, pain scores and complications between the two groups were compared. Results There is no significant difference between the two groups on gender, age and BMI (P >0.05) .Compared to the control group, the patients in the ERAS group recovered faster post operation with earlier exhaust time [(2.71±0.23) d vs (4.17±0.15) d],more stable blood glucose [(6.23±0.32) mmol/L vs (8.17±0.53) mmol/L], lower pain scores[(1.42±0.19) vs (2.75±0.18)], shorter period for indwelling of catheters [(1.73±0.21) d vs (4.00±0.28) d], drainage tubes [(4.14±0.23) d vs (7.69±0.31) d] and shorter hospital stays[(6.92±0.28) d vs (9.58±0.56) d]. And the difference is significant (P <0.05). What' s more, measures of ERAS didn' t increase the complications after operations. Conclusion A series of measures based on the idea of ERAS can promote the recovery of patients after colorectal operations.
