Effect of enhanced recovery after surgery on elderly patients undergoing laparoscopic inguinal hernia repair

doi:10.3877/cma.j.issn.1674-392X.2021.01.013

Abstract

Abstract:

Objective

To investigate the effect of enhanced recovery after surgery (ERAS) on elderly patients undergoing laparoscopic inguinal hernia repair.

Methods

128 elderly patients who underwent laparoscopic inguinal hernia repair in Wuhan Special Service Center Clinic from June 2016 to June 2018 were randomly divided into observation group and control group, with 64 cases in each group. The control group received routine nursing. The observation group was followed by ERAS, given diagnosis and treatment intervention. The postoperative recovery of anal exhaust time, bed-out time, first feeding time, and hospitalization days were observed. The postoperative pain was compared between the two groups. The incidence of adverse reactions and postoperative care satisfaction were recorded.

Results

The anus exhaust time, the time of getting out of bed, the time of first feeding, and the length of hospital stays in the observation group were significantly lower than those in the control group [(5.24±0.36) h vs (8.62±0.51) h, (0.72±0.35) h vs (1.42±0.50) h, (6.42±0.31) h vs (9.51±0.48) h, (1.25±0.81) d vs (3.20±1.54) d], and the differences were statistically significant (P<0.05); observation group postoperative pain duration and numerical pain score (NRS) of observation group were significantly lower than those of the control group [(4.26±0.51) d vs (5.91±0.81) d, (1.45±0.32) points vs (2.81±0.47) points] (P<0.05). The incidence of adverse reactions in the observation group and control group were 9.38% and 28.13%, respectively; it was significantly lower in the observation group, and the difference was statistically significant (P<0.05). The nursing satisfaction of the observation group and the control group were 93.75% and 73.44%, respectively; the observation group was significantly higher, and the difference was statistically significant (P<0.05).

Conclusion

ERAS has a good effect on elderly patients undergoing laparoscopic inguinal hernia repair. It can effectively promote postoperative recovery, reduce pain, improve nursing satisfaction, and reduce postoperative complications. It is worthy of clinical promotion.

Key words: Accelerated rehabilitation surgery, Laproscopic, Inguinal hernia repair, Pain degree, Satisfaction, Complications

Xiaohong Zhao. Effect of enhanced recovery after surgery on elderly patients undergoing laparoscopic inguinal hernia repair[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2021, 15(01): 53-56.

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References 16

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组别	例数	肛门排气时间(h)	下床活动时间(h)	首次进食时间(h)	住院天数(d)
观察组	64	5.24±0.36^a	0.72±0.35^a	6.42±0.31^a	1.25±0.81^a
对照组	64	8.62±0.51	1.42±0.50	9.51±0.48	3.20±1.54

组别	例数	肛门排气时间(h)	下床活动时间(h)	首次进食时间(h)	住院天数(d)
观察组	64	5.24±0.36^a	0.72±0.35^a	6.42±0.31^a	1.25±0.81^a
对照组	64	8.62±0.51	1.42±0.50	9.51±0.48	3.20±1.54

组别	例数	疼痛持续时间(d)	NRS评分(分)
观察组	64	4.26±0.51^a	1.45±0.32^a
对照组	64	5.91±0.81	2.81±0.47

组别	例数	疼痛持续时间(d)	NRS评分(分)
观察组	64	4.26±0.51^a	1.45±0.32^a
对照组	64	5.91±0.81	2.81±0.47

组别	例数	胸腔积液	伤口感染	吞咽困难	尿潴留	血清肿	不良反应发生率(%)
观察组	64	1	1	1	2	1	9.38^a
对照组	64	2	3	2	6	5	28.13

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