Enhanced recovery after surgery and pain management in radical operation of rectal cancer
10.3760/cma.j.issn.1007-631X.2018.04.011
- VernacularTitle:加速康复理念和疼痛管理在直肠癌根治术中的应用
- Author:
Weihao LI
1
;
Xingyu FENG
;
Junjiang WANG
;
Zhijian LUO
;
Chengzhi HUANG
;
Sheng LI
;
Weixian HU
;
Zejian LYU
;
Jiabin ZHEN
;
Xueqing YAO
Author Information
1. 广东省人民医院(广东省医学科学院)胃肠外科
- Keywords:
Rectal neoplasms;
Pain management;
Perioperative period;
Enhanced recovery after surgery
- From:
Chinese Journal of General Surgery
2018;33(4):314-317
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical effect of enhanced recovery after surgery and pain management during the perioperative period in rectal cancer patients.Methods 100 rectal cancer patients after radical resection were divided into ERAS group (50 cases) and routine care group (50 cases).Results Compare with the routine group,the time of ERAS group was shorter in postoperative bowel function recovery [(1.8 ± 0.6) d vs.(3.4 ± 0.6) d,t =-8.1,P ＜ 0.001],oral feeding [(1.3 ± 0.6) d vs.(3.2 ± 0.6) d,t =-10.1,P ＜ 0.001],intraperitoneal catheter drain [(3.6 ± 0.7) d vs.(5.3 ±0.8) d,t=-6.7,P＜0.001] and mobilization[(1.1 ±0.3)d vs.(2.7 ±0.5) d,t=-12.7,P＜0.001].ERAS group was associated with shorter hospital stay [(4.6 ± 0.6) d vs.(6.1 ± 0.6) d,t =-7.7,P ＜ 0.001],lower costs (P =0.014),lower pain score at the time of 6 h,12 h,24 h and 48 h after surgery (P ＜0.001).There was no significant statistical difference in postoperative complication rate 8％ and 10％ (P =1.000).Conclusions ERAS management in rectal cancer patients after radical operation enhanced postoperative recovery.
