关键词: 加速康复理念, 颈椎前路手术, 脊髓型颈椎病, 神经根型颈椎病

Abstract: Objective To evaluate the clinical effect of ERAS protocol in anterior cervical discectomy and fusion surgery. Methods We retrospectively analyze the clinical data of 42 patients with cervical Spondylosis underwent surgical treatment from July 2019 to June 2021. The patients were distributed to observation group and control group by whether their perioperative management were ERAS protocol. The perioperative data （operation time, estimated blood loss, drainage time, postoperative bed time, postoperative hospital staying time）, clinical effect score and swallowing function were compared between two groups. Results The baseline data were comparable between two groups （P>0.05）. For perioperative clinical data, the operation time and estimated blood loss were comparable between two groups, while the drainage time, postoperative bed time and postoperative hospital staying time in the ERAS group were shorter （P<0.05）. For clinical effect score, the VAS scores of one day, one month, six months postoperative and the JOA score of one month, six months postoperative were better than the scores preoperative （P<0.05）. Only the VAS scores one day postoperative of the ERAS group were better, the other time VAS and JOA scores were comparable between two groups （P>0.05）. For swallowing function, the ERAS groups has better score one day, one month postoperative （P<0.05）, while the score 6 months postoperative were not statistically different （P>0.05. For postoperative complications, one pulmonary infection and two urinary retention happened in the ERAS group and one skin infection in the conventional group which could be cured conservatively. No patients required reoperation or had other severe complication. Conclusion Implication of ERAS in anterior cervical discectomy and fusion surgery can improve clinical effect, shorter hospital staying time and improve satisfaction rates.

Key words: enhanced recovery after surgery （ERAS）, anterior cervical discectomy and fusion surgery, cervical spondylitic myelopathy, cervical spondylitic radiculopathy