Influences of Enhanced Recovery After Surgery on Rehabilitation Effect and Postoperative Pain in Patients with Oblique Lumbar Interbody Fusion.

Abstract

Objective:

This study aimed to investigate the effects of an enhanced recovery after surgery (ERAS) protocol on postoperative rehabilitation and pain levels in patients undergoing oblique lateral interbody fusion (OLIF), with the goal of promoting postoperative rehabilitation and providing a reference for clinical practice.

Methods:

Total of 165 OLIF patients were randomly divided into a control group and an ERAS group, with each group receiving different perioperative nursing approaches. Differences in postoperative pain, lumbar dysfunction, ability to daily living, nursing satisfaction, and total complication rate were compared.

Results:

The time of first getting out of bed, hospital stay, anal exhaust time, defecation time, and bowel sound recovery time in the ERAS group were shortened by 14.51 h, 2.45 d, 9.74 h, 10.82 h, and 7.59 h, respectively (all P < .05). In contrast to the control group, the Visual Analogue Scale score in the ERAS group decreased by 2.51 points 24h, 3.58 points 48 h, and 0.42 points 72 h after surgery (all P < .05). The Oswestry Disability Index score in the ERAS group decreased by 3.73 points at 30 days and 4.35 points at 90 days after surgery. The Japanese Orthopaedic Association score in the ERAS group increased by 4.26 points at 30 days and 4.08 points at 90 days after surgery in contrast to the control group. The Barthel score in the ERAS group increased by 5.08 points and 12.28 points at the postoperative 30 days and 90 days, respectively (both P < .05). The postoperative nursing satisfaction score in the control group was 89.57 ± 5.68 and that in the ERAS group was 96.29 ± 6.01 (P < .05).

Conclusions:

Incorporating ERAS in OLIF patients' perioperative care resulted in reduced postoperative pain and complications, improved lumbar function and daily living ability, and higher nursing satisfaction. ERAS contributes to effective postoperative rehabilitation.

Significance and Implications:

Incorporating ERAS in OLIF patients' perioperative care contributes to effective postoperative rehabilitation.

• Authors: Ting Zheng, Jianfu Han, Jing Zhang
• Journal: Alternative therapies in health and medicine (Altern Ther Health Med) Vol. 30 Issue 1 Pg. 198-204 (Jan 2024) ISSN: 1078-6791 [Print] United States
• PMID: 37773675 (Publication Type: Randomized Controlled Trial, Journal Article)

Topics

• Humans
• Enhanced Recovery After Surgery
• Pain, Postoperative (prevention & control)
• Treatment Outcome