Perioperative Nutritional Support Of Patients With Acute Abdomen In Enhanced Recovery After Surgery Programme

Background and objectiveEnhanced Recovery After Surgery(ERAS)protocols accelerate patient’s recovery and shorten hospital stay as a result of the optimization of the perioperative care.Enhanced Recovery After Surgery,to simplify and improve a series of surgical perioperative relevant measures,is the protocols to reduce the stress response of operation and the related measures for the body,to keep the body’s physiological function within a stable state,to make the body quickly recovery from surgery disrupt the imbalance situation,as well as to reduce complications,to shorten the postoperative recovery time.The benefits of implementing the ERAS programme are globally acknowledged,with value particularly evident in major abdominal surgery.Despite the large volume of ERAS literature in elective surgery,few studies have investigated the effectiveness of ERAS for emergency surgical patients,although some guidelines have suggested that its use is appropriate.Emergency surgical patients with acute abdominal pain often were malnutrition or potential nutritional risk,caused by the disease itself,eating disorders,stress reaction,combined with surgical trauma,postoperative fasting,leading to hospitalization prolonged slow,poor prognosis,complications,and the course of restoration.Undernutrition is,in particular,associated with loss of muscle strength and impaired immune function,which lead to an increase in complications and a prolonged hospital stay.So appropriate nutrition evaluation and support for patients with malnutrition or nutritional risk may help reduce complications and improve the outcome.The aim of this study was to investigate the application value of perioperative nutritional support of patients with acute abdomen in Enhanced Recovery After Surgery programme.MethodsFrom March 2015 to March 2016,the clinical data of patients with acute abdominal disease admitted in the Emergency Care Center of The First Affiliated Hospital of Zhengzhou University were collected.Patients were clsaaified according to disease category,then they were random divided into Enhanced Recovery After Surgery group(ERAS)and conservative perioperative management group(CPM).A total of 490 patients with acute abdominal disease were collected,287 in ERAS group and 203 in CPM group.Assessment nutrition risk of the patients in NRS2002 preoperative.Biochemical and clinical indicators.of the 2 groups were compared.Statistical analysisStatistical treatment is completed with SPSS21.0 package.Measurement data is expressed by mean ± standard deviation(?x±s),according to measurement data,group comparison between groups using t-test,ANOVA is used in comparision within repeated measurement data set,the group ratio comparision is analyzed by chisquare.Comparision between groups of level data is analyzed by rank test.P < 0.05 for the difference was statistically significant.ResultsThere were no significant differences in disease composition,age or gender composition between the 2 groups(P > 0.05).While compared with CMP group,ERAS group had higher PA level,a shorter time of bowel function recovery,first postoperative ingress and hospital stay,and a lower WHO pain rating scale(P < 0.05).ConclusionsBased on perioperative nutritional support,ERAS programme can accelerate recovery after emergency surgery,reduce the rate of overall complications,promote bowel function recovery,and decrease morbidity in the perioperative period for patients with acute abdominal disease.