Tang Min, Richard Seidu A, Fan Chaofeng, Luo Zhen, Zhu Wei, He Qian, Lan Zhigang, Duan Lijuan
Department of Nursing, West China Hospital, Sichuan University, Chengdu, Sichuan, 610041, P.R. China.
Department of Neurosurgery, West China Hospital, Sichuan University, Chengdu, Sichuan, 610041, P.R. China.
Open Med (Wars). 2025 Mar 3;20(1):20251139. doi: 10.1515/med-2025-1139. eCollection 2025.
Transsphenoidal endoscopic pituitary (TEP) tumor resection is performed through the nose via the sphenoid sinus to remove tumors from the pituitary gland. Also, enhanced recovery after surgery (ERAS) was adapted to reduce physical and physiological traumatic stress response of surgical patients.
A total of 174 patients who underwent TEP tumor resection in our department from August 2021 to June 2022 were randomly divided into non-ERAS group and ERAS group. The main primary observational indicator was postoperative self-care ability parameters such as early urethral catheters' removal and postoperative food intake. Also, secondary indicators such as postoperative complications, average length of hospital stay (LOS), and total hospital cost were compared.
The overall self-care ability of the ERAS group was higher than that of the non-ERAS group 24 h after surgery (35 points vs 20 points, < 0.001). Also, food intake on the first day after surgery was higher than that of the non-ERAS group ( < 0.001). Furthermore, the average LOS in the ERAS group was lower than that of the non-ERAS group (4 days vs 7 days, < 0.01). Additionally, the average hospitalization cost in the ERAS group was lower than that of the non-ERAS group (32, 886 RMB vs 48, 125 RMB, < 0.001).
ERAS nursing strategy promoted early recovery of self-care, shorten the average LOS, and reduce hospitalization costs without increasing the incidence of postoperative complications.
经蝶窦内镜垂体瘤切除术通过鼻腔经蝶窦进行，以切除垂体瘤。此外，采用加速康复外科（ERAS）来减轻手术患者的身体和生理创伤应激反应。
2021年8月至2022年6月在我科接受经蝶窦内镜垂体瘤切除术的174例患者被随机分为非ERAS组和ERAS组。主要的主要观察指标是术后自我护理能力参数，如早期拔除尿管和术后食物摄入量。此外，还比较了术后并发症、平均住院时间（LOS）和总住院费用等次要指标。
ERAS组术后24小时的总体自我护理能力高于非ERAS组（35分对20分，<0.001）。此外，术后第一天的食物摄入量高于非ERAS组（<0.001）。此外，ERAS组的平均住院时间低于非ERAS组（4天对7天，<0.01）。此外，ERAS组的平均住院费用低于非ERAS组（32,886元对48,125元，<0.001）。
ERAS护理策略促进了自我护理的早期恢复，缩短了平均住院时间，降低了住院费用，且未增加术后并发症的发生率。
