Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2018, Vol. 32 ›› Issue (5): 9-12.doi: 10.6040/j.issn.1673-3770.1.2018.012

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Enhanced recovery after surgery for the treatment of chronic rhinosinusitis with nasal polyps

SONG Xiaoyu1,2, ZHANG Yu2, LI Chenglin2, SONG Xicheng2   

  1. Yantai Yuhuangding Hospital, Yantai 264000, Shandong, China
  • Received:2018-07-30 Online:2018-09-20 Published:2018-09-20

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Abstract: Objective To explore the perioperative application value of enhanced recovery after surgery(ERAS)in patients with chronic rhinosinusitis with nasal polyps(CRSwNP). Methods A total of 136 patients with CRSwNP were randomly divided into the ERAS group(n=70)and control group(n=66). Both groups underwent endoscopic nasal polypectomy and open sinus surgery. Patients in the ERAS group underwent preoperative education and perioperative airway assessment intervention and a series of optimization measures such as shortening fasting time, intraoperative controlled hypotension, and on-time analgesia, whereas those in the control group were treated with traditional perioperative treatment. The preoperative dysfunction of lung function, postoperative pain score, amount of nasal bleeding after 24 h, postoperative hospital stay, and total hospital stay between the two groups were compared. Results The preoperative tolerance rates of patients with preoperative pulmonary dysfunction in the ERAS and control groups were 93.3% and 75.0%, respectively(χ2=1.924, P=0.165). The VAS scores of nasal congestion, headache, eye pain, tearing, ear nausea, and sleep difficulties in the ERAS group were lower than those in the control group(P<0.001). The ERAS group had a blood loss of 5.7(3.0, 10.3)mL within 24 h postoperatively, whereas the control group had a blood loss of 7.2(5.0, 13.2)mL; there was no statistically significant difference in blood loss between the two groups (U=-0.913, P=0.361). The average hospitalization days in the ERAS and control groups were 4.6±0.8 and 7.5±1.1, respectively, with statistically significant difference(t=17.79, P<0.001). The postoperative hospitalization day of the ERAS and control groups were 2.1±0.5 and 3.8±0.3, respectively, with statistically significant difference(t=23.94, P<0.001). Conclusion The use of ERAS throughout the perioperative period in patients with CRSwNP can effectively reduce the psychological and physiological trauma stress response and shorten the hospitalization time.

Key words: Enhanced recovery after surgery, Chronic rhinosinusitis with nasal polyps, Functional endoscopic sinus surgery

CLC Number: 

  • R765.41
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