A Retrospective Study Of The Application Of The Concept Of Enhanced Recovery After Surgery In The Perioperative Period Of Transurethral Resection Of The Prostate

Objective: By retrospectively studying a series of optimization measures for perioperative management,this paper explores the application and effect of enhanced recovery after surgery(ERAS)in the perioperative period of transurethral resection of the prostate(TURP).Methods: A total of 94 patients with elective TURP in urology in the Second Hospital of Hebei Medical University were selected.Among them,41 cases in the conventional surgery group from September 2014 to January 2015 were given routine perioperative treatment;53 cases in the ERAS group from September 2017 to January 2018 were given enhanced recovery after surgery.The differences in preoperative general information,postoperative clinical indicators,total hospitalization costs,and incidence of adverse reactions were compared between the two groups.Results: There was no statistically significant difference in general information before surgery between the two groups(P>0.05);the total hospital stay,postoperative hospital stay,bladder irrigation time,urinary catheter indwelling time,and antibiotic use time of ERAS group were shorter than the conventional surgery group(P<0.05);the ERAS group did not increase the total cost of hospitalization or the incidence of adverse reactions compared with the conventional surgery group(P>0.05).Conclusions: The application of ERAS in the perioperative period of TURP can shorten the total hospital stay,postoperative hospital stay,bladder irrigation time,urinary catheter indwelling time,and antibiotic use time,and promote early recovery of patients without increasing the total hospitalization costs or incidence of adverse reactions.It has clinical feasibility,can benefit patients,and deserves further promotion in the clinic.