The ERAS nursing care strategy for patients undergoing transsphenoidal endoscopic pituitary tumor resection: A randomized blinded controlled trial.

IF 1.7 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Open Medicine Pub Date : 2025-03-03 eCollection Date: 2025-01-01 DOI:10.1515/med-2025-1139

Min Tang, Seidu A Richard, Chaofeng Fan, Zhen Luo, Wei Zhu, Qian He, Zhigang Lan, Lijuan Duan

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引用次数: 0

Abstract

Introduction: 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.

Methods: 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.

Results: 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, p < 0.001). Also, food intake on the first day after surgery was higher than that of the non-ERAS group (p < 0.001). Furthermore, the average LOS in the ERAS group was lower than that of the non-ERAS group (4 days vs 7 days, p < 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, p < 0.001).

Conclusion: ERAS nursing strategy promoted early recovery of self-care, shorten the average LOS, and reduce hospitalization costs without increasing the incidence of postoperative complications.

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经蝶窦内镜下垂体瘤切除术患者ERAS护理策略：一项随机盲法对照试验。

简介：经蝶窦内镜下垂体（TEP）肿瘤切除术是通过鼻腔经蝶窦切除垂体肿瘤。此外，增强术后恢复（ERAS）适用于减少手术患者的生理和生理创伤应激反应。方法：选取我科2021年8月至2022年6月行TEP肿瘤切除术的患者174例，随机分为非ERAS组和ERAS组。主要观察指标为术后自理能力参数，如早期拔除导尿管及术后进食情况。此外，我们还比较了术后并发症、平均住院时间（LOS）和住院总费用等次要指标。结果：ERAS组术后24 h的整体生活自理能力高于非ERAS组（35分vs 20分，p < 0.001）。术后第一天的食物摄入量高于非eras组（p < 0.001）。ERAS组的平均LOS低于非ERAS组（4天vs 7天，p < 0.01）。ERAS组的平均住院费用低于非ERAS组（32,886元比48,125元，p < 0.001）。结论：ERAS护理策略在不增加术后并发症发生率的情况下，促进患者早期恢复自理能力，缩短平均生存时间，降低住院费用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Open Medicine Medicine-General Medicine

CiteScore

3.00

自引率

0.00%

发文量

153

审稿时长

20 weeks

期刊介绍： Open Medicine is an open access journal that provides users with free, instant, and continued access to all content worldwide. The primary goal of the journal has always been a focus on maintaining the high quality of its published content. Its mission is to facilitate the exchange of ideas between medical science researchers from different countries. Papers connected to all fields of medicine and public health are welcomed. Open Medicine accepts submissions of research articles, reviews, case reports, letters to editor and book reviews.