| Objective: To investigate the nutritianal effects of enhanced recovery after surgery(ERAS)on patients after laparoscopic radical gastrectomy for gastric cancer.Methods: Forty gastric cancer patients admitted to Department of Gastroenterological Surgery of our hospital and received elective laparoscopic radical gastrectomy from January 2017 to October 2018 were randomly divided into a conventional group(n=20)and an ERAS group(n=20)based on different management during the perioperative period.Patients of the ERAS group received perioperative management guided by ERAS and patients of the conventional group received conventionally perioperative management.We compared the nutritional indicators of the two groups on day 1 before operation and on day 1,4 and 7 after operation,and the tendency and degree of the nutritional indicator changes in the two groups were analyzed.Results: There were no statistically significant differences in height,weight,BMI between the two groups(P>0.05).On day 1 before the operation,there were no statistically significant differences in nutritional indexs such as albumin(Alb),prealbumin(PreAlb)and hemoglobin(Hb)between the two groups(P>0.05).The levels of albumin,prealbumin and hemoglobin in patients of conventional group on the first,fourth and seventh day after operation were lower than those on the first day before the operation,and the differences were statistically significant(P<0.05).The levels of albumin,prealbumin and hemoglobin in patients of ERAS group(n=20)on the first and the fourth after operation were lower than those on the first day before the operation,and the differences were statistically significant(P<0.05).On day 1 after operation,no significant difference was found by comparison of albumin between the two group patients(P>0.05).On the fourth and seventh day after operation,the values of albumin in the ERAS group(n=20)was higher than that of the conventional group(n=20),and the difference was statistically significant(P<0.05).On the first day after operation,comparison of the prealbumin value between the ERAS group and the conventional group yielded no significant difference(P>0.05).On day 4 after operation,the value of prealbumin in the ERAS group(n=20)was higher than that in the conventional group(n=20),the difference was statistically significant(P<0.05).There was no significant difference in the blooding volume during the operation between the two groups(P>0.05).On day 1,4 and 7 after operation,comparison of hemoglobin between the two groups yielded no significant difference(P>0.05).The complication incidence between the two groups had no significant difference(P>0.05).Thetime of operation in the ERAS group(n=20)was equal to the conventional group(n=20),and the difference was not statistically significant(P>0.05).The hospitalization duration after operation of the ERAS group(n=20)was shorter than the conventional group(n=20),and the difference was statistically significant(P<0.05).Conclusion: Perioperative ERAS can accelerate postoperative nutritional index recovery in patients undergoing laparoscopic radical gastrectomy for gastric cancer,shorten the recovery time after operation and enhance patient recivery. |
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