To explore the effect of perioperative anesthetic management with Enhanced Recovery After Surgery (ERAS) Protocols on stress response and postoperative recovery of children with inguinal hernia.

120 cases of children with inguinal hernia (aged 1~3 years, ASA grade Ⅰ~Ⅱ) who underwent elective laparoscopic unilateral internal ring ligation in Baoding Children's Hospital from June to October 2019 were selected. They were randomly divided into two groups: control group (group C) and ERAS group (group E), with 60 children in each group. Patients in group C were treated with traditional methods for perioperative anesthetic management, while patients in group E were treated with enhanced recovery protocols for perioperative anesthetic management. The plasma levels of cortisol (Cor), norepinephrine (NE) and glucose (Glu) were recorded before operation (T0) and at the end of operation (T1). Ramsay score, FLACC score and PAED score were recorded at the time of awakening (T2) and 2 hours after returning to the ward (T3). The operation time, recovery time, incidence of postoperative nausea and vomiting reactions, hospital stay, total cost of children and satisfaction rate of parents were observed and recorded in the two groups.

At T1, Cor and NE in Group E were significantly lower than those in group C (P<0.05), but there was no significant difference in Glu between the two groups (P>0.05). The scores of Ramsay, FLACC and PAED in Group E were significantly better than those in group C at T2 and T3 (P<0.05). In terms of postoperative recovery, the incidence of postoperative adverse reactions was significantly lower than that in group C (P<0.05), and the satisfaction rate of parents in Group E was significantly higher than those in group C (P<0.05), but there was no significant difference in the recovery time, length of stay and total hospitalization costs between the two groups (P>0.05).

ERAS can reduce the stress response during operation and postoperative adverse reactions in children with inguinal hernia, and improve the satisfaction rate of parents, but it has no significant effect on the length of stay and the cost of hospitalization.