Meta-Analysis Of Clinical Application Of Enhanced Recovery After Surgery In Cesarean Section

Objective:A Meta-analysis was used to evaluate the effect of enhanced recovery after surgery(ERAS)concept in the perioperative period of cesarean section.The recovery time of various indicators after surgery was compared,and the influence of ERAS on the recovery process of cesarean section patients was judged,which provided theoretical evidence for the extension of this concept in the field of obstetrics.Methods:Computer searched 7 databases in China(CNKI,WANfang,VIP,and CBM)and foreign(Pub Med,EMBASE,Cochrane Library database),and screened all retrieved literature according to the inclusion and exclusion criteria.The quality of the relevant literature was evaluated,and the Revman 5.3 software was used to conduct a Meta-analysis of the extracted general information and required data.Results:Meta-analysis of all included experiments showed that: the time of first exhaust after operation(SMD=-1.16,95%CI:-1.51～-0.81,P<0.05),the time of first out-of-bed activity(SMD=-1.64,95%CI:-2.08～-1.20,P<0.05),initial lactation time(SMD=-1.27,95%CI:-2.17～-0.36,P<0.05)and postoperative hospital stay(SMD=-1.03,95%CI:-1.52～-0.54,P<0.05)shortened,the incidence of postoperative complications(RR=0.42,95%CI: 0.33～0.54,P<0.05)decreased,and in 24 hours postoperative vaginal bleeding decreased(RR=-0.52,95%CI:-0.70～-0.33,P<0.05),and the difference was statistically significant.Conclusion:1.The ERAS concept is applied to shorten the postoperative hospital stay of patients in the perioperative period of cesarean section,and significantly advances the first exhaust time,the first time to get out of bed and the first time to lactation.2.The incidence of postoperative complications of cesarean section patients who applied the concept of ERAS did not increase but decreased,and in 24 hours postoperative vaginal bleeding decreased.