| Objective: To explore the safety and effectiveness of enhanced recovery after surgery in patients with mandibular fracture during perioperative period.Methods: Patients with mandibular fractures hospitalized in the department of oral and maxillofacial surgery,affiliated Stomatological Hospital of Guizhou Medical University from December 2018 to December 2019 were selected as the research objects.The patients from December 2018 to May 2019 were in the control group,while those from June 2019 to December 2019 were in the ERAS group,with 20 patients in each group.All patients were treated with rigid internal fixation and postoperative intermaxillary traction.The patients in the control group were treated with the traditional mandible fracture treatment method for perioperative management,while the patients in ERAS group were treated with the concept and method of enhanced recovery after surgery for perioperative management.Preoperative and postoperative pain scores(Numeric Rating Scale)on day 1 and day 3 of the two groups were recorded.C-reactive protein and white blood cell counts were measured before and 3 days after surgery.Postoperative hospitalization time was recorded.The recovery of oral function in 1 month after surgery was recorded.Postoperative complications during hospitalization were recorded.SPSS 21.0 was used for the Analysis?Difference was statistically significant(P<0.05).Results:Preoperative pain scores of the two groups were compared,and the results were not statistically significant(P>0.05);The pain score of the experimental group on the first and third day after the surgery was lower than that of the control group,and the results were statistically significant(P<0.01).Preoperative c-reactive protein was compared between the two groups,and the results were not statisticallysignificant(P>0.05).C-reactive protein in the experimental group was lower than that in the control group on the third day after surgery,and the results were statistically significant(P<0.05).Comparison of preoperative white blood cell counts between ERAS group and control group showed no statistical significance(P>0.05).The white blood cell count of ERAS group was lower than that of the control group on the third day after surgery,and the results were statistically significant(P<0.05).Comparison of postoperative hospital stay between the two groups,ERAS group was shorter than the control group,and the results were statistically significant(P<0.05).There was no statistical significance in the recovery of oral functions(degree of opening,occlusal relationship,temporomandibular joint)between the two groups 1 month after the surgery(P>0.05).Conclusion:It is safe and effective for patients with mandibular fracture to apply the enhanced recovery after surgery to the surgical treatment,which may reduce the postoperative stress response,reduce the degree of pain,shorten the length of hospitalization,and contribute to the recovery of patients. |
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