ERAS胃肠道管理方案在腰椎后路融合术患者中的应用

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Abstract Objective To compare the different effects of the enhanced recovery after surgery(ERAS) preoperative gastrointestinal preparation measures and traditional gastrointestinal preparation measures in posterior lumbar interbody fusion(PLIF) surgery for lumbar disc herniation(LDH) patients.Methods To tally 80 LDH patients before PLIF surgery were randomized into a control group and an intervention group，with 40 patients in each group，among them.There were 21 males and 19 females in the control group.The average age of patients was(53.73±14.07)years old.There were 23 males and 17 females in the control group，and the average age of patients was(57.98±11.61)years old.Control group received traditional gastrointestinal management measures，while the intervention group received ERAS gastrointestinal management measures.The incidence of aspiration and defecation during the surgery，postoperative hunger and thirsty，postoperative gastrointestinal recovery and length of stay between the two groups were compared.Results No aspiration or defecation occurred in the two groups.The hunger，thirsty，gastrointestinal symptom score of the intervention group were lower than those of the control group(P＜0.05)，and The first time of exhaust after operation was earlier than that of the control group(P＜0.05).There was no statistically significant difference between the two groups in the time of first postoperative defecation，abdominal distention，constipation，time of defecation reconstruction，patient assessment of constipation symptom，postoperative length of hospital stay(P＞0.05).Conclusion The application of ERAS gastrointestinal management plan to patients undergoing PLIF surgery can improve the perioperative subjective experience of patients，promote the recovery of early postoperative intestinal peristalsis，and do not increase the risk of abdominal distention，constipation，and prolonged postoperative hospital stay.It can be applied gradually.

Key words： lumbar disc herniation posterior lumbar interbody fusion mechanical bowel preparation enhanced recovery after surgery gastrointestinal management

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	Qi Qiong 1
	2
	Zeng Liyun 3*
	Pan Yingyan 1

Cite this article:

Qi Qiong 1,2,Zeng Liyun 3*, et al. The Application of Enhanced Recovery After Surgery Gastrointestinal Management Scheme in Patients with Posterior Lumbar Interbody Fusion Surgery[J]. sygkzz, 2021, 27(9): 769-773.

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http://www.sygkzz.com/EN/ OR http://www.sygkzz.com/EN/Y2021/V27/I9/769

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