Application of ERAS Concept-based Cardiopulmonary Function Pathway Management during Perioperative Period of Laparoscopic Cholecystectomy in Elderly Patients
MA Guofeng
WU Yu
Abstract：Objective To explore the application effect of cardiopulmonary function pathway management based on the concept of enhanced recovery after surgery(ERAS)during the perioperative period of laparoscopic cholecystectomy in eld-erly patients.Methods A total of 150 elderly patients undergoing laparoscopic cholecystectomy in our hospital from Novem-ber 2019 to November 2022 were selected and divided into observation group(n=75)and control group(n=75)by the ran-dom number table method.The control group was given routine perioperative intervention regimen,while the observation group was given ERAS concept-based cardiopulmonary function pathway management on this basis.The postoperative recovery status(the first time of off-bed activity,the time of first anal exhaust,length of postoperative hospital stay),pain status[Visual An-alogue Scale(VAS)]and activities of daily living[Activities of Daily Living Scale(ADL)],cardiopulmonary function indi-cators[anaerobic threshold(AT),maximum oxygen uptake(VO2 max),peak oxygen pulse(O2 Ppeak),left ventricular ejec-tion fraction(LVEF)]before operation and at 1 d before hospital discharge and complications were compared between groups.Results The first time of off-bed activity,the time of first anal exhaust and the length of postoperative hospital stay in the ob-servation group were shorter than those in the control group(P＜0.01).VAS score of observation group was lower than con-trol group,while ADL score was higher than control group at 1 d before discharge(P＜0.05,P＜0.01).AT,VO2max,O2 Ppeak and LVEF in observation group were higher than those in control group at 1 d before discharge(P＜0.05,P＜0.01).The total incidence of perioperative pulmonary infection,pleural effusion and heart failure in observation group was lower than that in control group(P＜0.05).No serious complications such as biliary fistula and abdominal infection occurred in the two groups.Conclusion ERAS concept-based cardiopulmonary function pathway management can effectively promote the postop-erative rehabilitation of elderly patients undergoing laparoscopic cholecystectomy,improve the cardiopulmonary function and reduce the complications.
Keywords：Enhanced recovery after surgeryCardiopulmonary functionCholecystectomylaparoscopicPainpostoperativeQuality of lifeMaximum oxygen uptakePeak oxygen pulseLeft ventricular ejection fraction
Publication Date：2024-05-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 43-47 )