Application of perioperative nutritional support in enhanced recovery after surgery
10.3760/cma.j.cn431274-20210713-00748
- VernacularTitle:围手术期营养支持在急腹症加速康复外科中的应用
- Author:
Guoxi XU
1
;
Gaofeng LIN
;
Huaishuai WANG
;
Yixiang ZHUANG
;
Yinlin LI
;
Qiyi LIN
;
Zhicong CAI
;
Weibo LIU
Author Information
1. 福建省晋江市医院胃肠外科，泉州 362200
- Keywords:
Abdomen, acute;
Perioperative;
Nutritional support;
Enhanced recovery after surgery;
C-reactive protein;
Albumin;
Prealbumin
- From:
Journal of Chinese Physician
2021;23(7):966-969
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the value and advantages of perioperative nutritional support in enhanced recovery after surgery (ERAS).Methods:The clinical data of patients admitted to Jinjiang City Hospital for acute abdomen and undergoing surgery from April 2018 to January 2021 were collected. They were divided into two groups: the enhanced recovery after surgery group (ERAS group, 78 cases) and the traditional perioperative management group (CPM group, 75 cases). The nutritional risk assessment of NRS2002 was performed on admission to the two groups. The postoperative inflammatory indexes, nutrition and rehabilitation related indexes were compared between the two groups.Results:There was no significant difference in preoperative NRS 2002 score, operation method, operation time and blood loss between ERAS group and CPM group ( P>0.05). There was no significant difference in C-reactive protein (CRP), albumin (Alb) and prealbumin (PA) between ERAS group and CPM group before operation ( P>0.05). The ALb and PA of the two groups on the first day after operation were significantly lower than those before operation, and the CRP levels on the first, third, fifth and seventh day after operation were higher than those before operation( P<0.05), with significant difference. The CRP level of ERAS group was lower than that of CPM group on the third day after operation, with significant difference ( P<0.05). On the 7th day after operation, the levels of Alb and PA in ERAS group were higher than those in CPM group ( P<0.05). The recovery time of gastrointestinal function and hospitalization days in ERAS group were significantly reduced, and the total cost of hospitalization was significantly less than that in CPM group ( P<0.05). Conclusions:Perioperative effective nutritional support is helpful to accelerate the recovery of patients with acute abdomen. The application of enhanced recovery after surgery can effectively improve the nutritional status of patients with acute abdomen, reduce the incidence of complications and improve the clinical outcome of patients.
