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Journal of Nursing ›› 2021, Vol. 28 ›› Issue (23): 41-46.doi: 10.16460/j.issn1008-9969.2021.23.041

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Rehabilitation Effect of Enhanced Recovery after Surgery on Lung Cancer Patients Undergoing Thoracoscopic Radical Surgery：A Meta Analysis

LIANG Dong-yan1, GONG Pi-xin2, QIU Ling-dong2, WANG Hui2, SHAO Mei-ying1, SUN Zheng1   

  1. 1. Shandong First Medical University (Shandong Academy of Medical Science), Tai'an 271000, China;
    2. The Second Affiliated Hospital of Shandong First Medical University, Tai'an 271000, China
  • Received:2021-03-25 Online:2021-12-10 Published:2022-01-11

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Abstract: Objective To explore the rehabilitation effect of enhanced recovery after surgery (ERAS) in lung cancer patients undergoing thoracoscopic radical surgery. Methods We searched databases including PubMed, Web of Science, Embase, Cochrane Library, CNKI and VIP by computer to collect randomized controlled trials and clinical controlled trials on the application of ERAS in perioperative period of lung cancer patients undergoing thoracoscopic radical surgery. The search time was up to June 21, 2021 and RevMan 5.3 software was used for data analysis of the strictly screened studies. Results A total of 14 studies with a sample size of 1,587 were included. Meta analysis showed that ERAS could reduce the incidence of postoperative pulmonary infection complications [OR=0.43, 95%CI(0.25, 0.73), P=0.002] and hospitalization expenses [MD=-0.62, 95%CI(-0.70,-0.53), P<0.001], and remove the thoracic drainage tube in advance [MD=-2.76, 95%CI(-2.96, -2.56), P<0.001]. Conclusion EARS is helpful to promote the rapid rehabilitation of lung cancer patients, and reduce the incidence of pulmonary infection and hospitalization costs, which is in line with the national medical insurance policy, and worthy of further clinical application.

Key words: enhanced recovery after surgery, lung cancer, thoracoscopy, Meta-analysis

CLC Number: 

  • R473.73
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