Zhang Qianqian, Sun Qinfeng, Li Junfeng, Fu Xing, Wu Yuhuan, Zhang Jiawei, Jin Xia
Haiyan People's Hospital, Zhejiang, 314300, Zhejiang, China.
Pain Ther. 2025 Feb;14(1):201-215. doi: 10.1007/s40122-024-00667-6. Epub 2024 Nov 5.
The Enhanced Recovery After Surgery (ERAS) protocol, a comprehensive multimodal approach, aims to mitigate surgical stress, expedite recovery, and improve postoperative outcomes. Its implementation has notably advanced perioperative care in colorectal cancer surgeries. Integrating ERAS with multidisciplinary collaboration, involving surgery, anesthesia, nursing, and nutrition, may further enhance patient outcomes, making it a significant focus in clinical practice.
This study assessed the effectiveness of integrating the ERAS model with multidisciplinary collaboration during the perioperative period in colorectal cancer patients. A total of 117 patients scheduled for elective surgery at Haiyan People's Hospital between August 2023 and April 2024 were randomly assigned to either a control group (n = 59), receiving traditional care, or an experimental group (n = 58), receiving ERAS-based multidisciplinary care. Key outcomes related to postoperative rehabilitation were evaluated.
Patients in the ERAS group demonstrated significantly shorter hospital stays, quicker catheter removal, and earlier mobilization compared to the control group (P < 0.0001 for all). Additionally, the ERAS group exhibited reduced postoperative inflammatory responses, as indicated by significantly lower interleukin-6 levels on the first postoperative day (P = 0.0247). The quality of life was significantly higher in the ERAS group (P < 0.05). Furthermore, the ERAS group incurred lower total hospitalization expenses than the control group (P = 0.0011).
These findings confirm the benefits of the ERAS protocol in enhancing postoperative recovery in colorectal cancer surgeries. The study highlights the importance of a multidisciplinary approach in optimizing patient outcomes and reducing the burden on hospital resources.
术后加速康复（ERAS）方案是一种全面的多模式方法，旨在减轻手术应激、加速康复并改善术后结局。其实施显著推进了结直肠癌手术的围手术期护理。将ERAS与多学科协作（包括外科、麻醉、护理和营养）相结合，可能会进一步改善患者结局，使其成为临床实践中的一个重要关注点。
本研究评估了在结直肠癌患者围手术期将ERAS模式与多学科协作相结合的有效性。2023年8月至2024年4月期间在海盐县人民医院计划进行择期手术的117例患者被随机分为对照组（n = 59），接受传统护理，或实验组（n = 58），接受基于ERAS的多学科护理。评估了与术后康复相关的关键结局。
与对照组相比，ERAS组患者的住院时间显著缩短，导尿管拔除更快，活动更早（所有P < 0.0001）。此外，ERAS组术后炎症反应减轻，术后第一天白细胞介素-6水平显著降低表明了这一点（P = 0.0247）。ERAS组的生活质量显著更高（P < 0.05）。此外，ERAS组的总住院费用低于对照组（P = 0.0011）。
这些发现证实了ERAS方案在促进结直肠癌手术术后康复方面的益处。该研究强调了多学科方法在优化患者结局和减轻医院资源负担方面的重要性。
