Application of stage-target-oriented LEER model for enhanced recovery after surgery during the perioperative period of glioma patients

ZHAO Bin-fang; WU Yu-yan

doi:10.13798/j.issn.1009-153X.2024.03.008

Abstract：Objective To explore the application effectiveness of stage-oriented LEER model for enhanced recovery after surgery(ERAS)during the perioperative period of glioma patients.Methods One hundred and twenty-one patients with glioma were prospectively enrolled and treated with ERAS during the perioperative period.Sixty patients were treated with the conventional ERAS mode(control group),and 61 patients with the LEER mode ERAS(observation group)according to the order of admission.Results The hospitalization time,the time intervals from the surgery to the first post-operative eating,drinking,and getting out of bed,the postoperative scores of visual analogue scale and Huaxi emotional-distress index in the observation group were significantly better than those in the control group(P<0.05).Intracranial hematoma occurred in 1 patient(1.6%),incision infection in 1(1.6%),and epilepsy in 1(1.6%)after operation in the observation group.Intracranial hematoma occurred in 1 patient(1.7%),incision infection in 1(1.7%),epilepsy in 2(3.3%),and deep venous thrombosis 1(1.6%)after operation in the control group.There was no significant difference in the incidence of postoperative complications between the two groups(P>0.05).The hospitalization satisfaction in the observation group(95.08%)was significantly higher than that(86.66%)in the control group(P<0.05).The incidence of malnutrition at discharge in the observation group[(6.55%)4/61]was significantly lower than that[18.33%(11/60)]in the control group(P<0.05).Conclusions Stage-oriented LEER model is safe and effective for ERAS during the perioperative period of glioma patients,which can reduce the pain of patients and shorten the length of hospital stay.