Enhanced recovery after surgery improves postoperative recovery for patients with lumbar degenerative diseases
Objective To investigate the clinical effectiveness of the Enhanced Recovery After Surgery(ERAS)protocol after minimally invasive transforaminal lumbar interbody fusion(MIS-TLIF)for patients with lumbar degenerative diseases(LDD).Methods In this study,60 patients with LDD treated with MIS-TLIF admitted from July 2021 to June 2022 were selected and divided into the observation group(ERAS protocol)and control group(conventional protocol)based on the random number table method,each with 30 cases.The perioperative indexes of the two groups including visual analogue scale(VAS),Oswestry disability index(ODI),Barthel Index(BI)and 36-Item Short Form Scale(SF-36)were used to assess the pain level,lumbar spine function,ability to perform daily activities,and quality of life in both groups.Results Intraoperative blood loss,time out of bed,and length of hospital stay were lower in the observation group than in the control group(P<0.05);the total postoperative complication rate was lower in the observation group than in the control group(13.3%vs.36.6%,P=0.037);at discharge and one month postoperatively,VAS and ODI were lower in the observation group than in the control group,and Barthel was higher than that in the control group(P<0.05).At six months postoperatively,the Physical Functioning(PF),Role Physical(RP),Body Pain(BP),Vitality(VT),Emotional Problems(RE),and Mental Health(MH)scores was higher than those of the control group;MH scores were higher than those of the control group(P<0.05).Conclusions The ERAS protocol can optimise the perioperative indicators after MIS-TLIF in LDD patients,reduce postoperative complications,alleviate early postoperative pain,improve prognosis,enhance quality of life,and accelerate recovery.
Enhanced recovery after surgeryLumbar vertebraeSpinal diseasesPain
万方数据
维普
