关键词: 加速康复外科, 功能性内镜鼻窦手术, 围手术期护理

Abstract: Objective To explore the role of enhanced recovery after surgery(ERAS)in perioperative nursing of functional endoscopic sinus surgery(FESS). Methods From October 1, 2017 to December 31, 2017, 48 patients who underwent general anesthesia functional endoscopic sinus surgery in our department were assigned to the ERAS group(n=17)and the conventional surgery group(n=31)according to the admission date. The hospitalization costs, the degree of postoperative pain, postoperative sleep, postoperative motivation, and postoperative feeding quality were compared between groups. Results There was no significant difference in hospitalization costs between the two groups(P=0.16). In the ERAS group, the pain was relieved on the day after surgery, and the willingness to move and the quality of eating were also significantly higher than those in the conventional surgery group(P<0.001). The pain level of the conventional surgery group should reach the similar level in the ERAS group on the 2nd day after surgery(P=0.14). The willingness to move and the quality of eating also need to reach the similar level in the ERAS group on the 1st postoperative day(P=0.23, P=0.15). Sleep quality did not show significant intergroup differences on the day after surgery(P=0.25), but the sleep time in the ERAS group was significantly longer than in the conventional surgery group(P=0.002). Conclusion ERAS is expected to help patients with FESS achieve greater postoperative comfort without a significant increase in hospitalization costs.

Key words: Enhanced recovery after surgery, Functional endoscopic sinus surgery, Perioperative care