Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2021, Vol. 35 ›› Issue (1): 21-24.doi: 10.6040/j.issn.1673-3770.0.2020.111

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Effect of enhanced recovery after surgery in the perioperative period of endoscopic septoplasty

XU Jianhui, LI Xin, CUN Jingjing, YE Fei   

  1. Department of Otolaryngology & Head and Neck Surgery, Zhongshan city people's hospital/Zhongshan hospital affiliated to Sun Yat-sen University, Zhongshan 528400, Guangdong, China
  • Published:2021-02-01

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Abstract: Objective To investigate the effect of enhanced recovery after surgery(ERAS)in the perioperative period of endoscopic septoplasty. Methods Forty patients undergoing endoscopic septoplasty from July 2017 to October 2019 were prospectively selected for the study, and were randomly divided into the routine group(20 patients)and ERAS group(20 patients). The routine group was given routine perioperative treatment measures, while the ERAS group was given the ERAS program. The visual analog score(VAS)for postoperative nasal pain, postoperative hospital stay, postoperative recovery quality-15(QoR-15), and postoperative complications were compared between the two groups. Results The VAS scores 24 and 48 hours after the operation in the ERAS group were 2(1,3)and 1(1,1.75), respectively. These were lower than those in the routine group 5(4.25,6.75)and 3(2.25,4), respectively; P<0.001. The postoperative hospitalization time in the ERAS group was 2(2,2)days, which was shorter than that in the routine group 4(4,5)days. This difference was statistically significant(Z=-5.400,P<0.001). The preoperative ERAS group and routine group QoR-15 scores were 141.6±3.5 and 141.9±3.7, respectively, which was not statistically significant(t=-0.308,P=0.760). The QOR-15 scores of the ERAS group, 24(138.8±3.8)and 48(141.8±2.9)hours after the operation were higher than those of the routine group(103.5±8.5 and 126.2±8.6, respectively). This difference was statistically significant(t=16.841,P<0.001;t=7.689,P<0.001). There was no significant difference in the incidence of postoperative complications between the two groups(χ2=0.360,P=0.548). Conclusion ERAS is safe and effective in the perioperative period of endoscopic septoplasty, it can shorten hospitalization time and improve quality of life.

Key words: Nasal septum, Septoplalty, Enhanced recovery after surgery, Perioperative period, Quality of life

CLC Number: 

  • R765.3+1
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