Study on application of pain management model based on enhanced recovery after surgery in perioperative period of liver cancer

Abstract

Abstract: Objective: To investigate the application and effect evaluation of the pain management model of of enhanced recovery after surgery(ERAS) in the perioperative period of liver cancer patients.Methods: 168 patients who underwent hepatectomy in our hospital from January 2019 to December 2019 were divided into observation group and control group according to different pain management patterns, with 86 cases in observation group and 82 cases in control group. Patients in the observation group were treated with the pain management model intervention based on ERAS during the perioperative period, while patients in the control group were treated with traditional perioperative pain management model. The differences of postoperative pain score, sleep quality, satisfaction of pain control, postoperative prophase time of getting out of bed and exhaust, hospitalization time and hospitalization expenses in the two groups were compared.Results: The postoperative pain score of the observation group was lower than that of the control group, with statistically significant difference(P<0.05). The postoperative sleep quality of the observation group was significantly better than that of the control group (P<0.05). The satisfaction degree of analgesic effect was also higher than that of the control group, with statistically significant difference (P<0.05). The postoperative prophase time of getting out of bed and exhaust and the average daily average hospitalization days of observation group were earlier than those of the control group. And the hospitalization expenses was significantly lower than that of the control group.Conclusion: The pain management model based on ERAS can effectively reduce the postoperative pain degree of liver cancer patients. After the intervention, postoperative prophase time of getting out of bed and exhaust are advanced. The postoperative recovery is faster, reducing hospitalization days. And the control of pain is more satisfactory, achieving the purpose of ERAS.

Key words: Liver cancer, Enhanced recovery after surgery, Postoperative pain, Pain management

Li Caiyun, Liu Yan, Guo Huanfei, Bi Yafei. Study on application of pain management model based on enhanced recovery after surgery in perioperative period of liver cancer[J]. Electronic Journal of Liver Tumor, 2020, 7(2): 61-65.

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