Abstract:

Abstract:Objective To explore the clinical effect of stands for enhanced recovery after surgery (ERAS) in the operating room in patients with laparoscopic appendectomy. Methods We selected 100 patients with laparoscopic appendectomy in John Wan Hospital from January 2019 to August 2020 as the research objects. Using random number method, they were divided into 50 cases in the control group (conventional perioperative management) and 50 cases in the observation group (perioperative

management based on the concept of ERAS). The postoperative exhaust time, first meal time, first activity time and total hospital stay, the numerical rating scale (NRS) scores at 6h, 12h and 24h after operation, activity of daily living(ADL) scores before and 3 days after operation and the incidence ofpostoperative complications were compared between the two groups. Results The postoperative exhaust time, first meal time, first activity time and total hospital stay in the observation group were significantly 

lower than those in the control group (P<0.01); The NRS of the observation group at 6h and 12h after operation were significantly lower than those of the control group (P<0.01), and there was no significant difference in the scores of the two groups at 24h after operation (P>0.05); There was no significant difference in ADL scores between the two groups before surgery (P>0.05), and the ADL scores of the observation group were higher than those of the control group on the 3rd day after surgery (P<0.01); The

incidence of complications such as wound infection, bleeding, nausea and vomiting and diarrhea in the observation group was significantly lower than that in the control group (χ2=8.31, P<0.01). Conclusion Based on the perioperative management of ERAS, it can effectively reduce the patient’s perioperative stress response, reduce the incidence of complications, promote postoperative recovery, and shorten the length of hospitalization.

Key words: Key words: Enhanced recovery after surgery, Perioperative period, Laparoscopic appendectomy, Operating room, Clinical effect