关键词: 加速康复外科, 混合痔, 围手术期

Abstract: Objective To investigate the application effect of enhanced recovery after surgery （ERAS） in the perioperative period of annular mixed hemorrhoids. Methods 280 patients with annular mixed hemorrhoids admitted to our hospital from January 2020 to December 2020 were selected and divided into ERAS group （n=144） and control group （n=136） respectively. A retrospective study was conducted to compare the perioperative evaluation indicators of the two groups of patients. Results The operation was successfully completed in both groups. The postoperative perianal pain score, the use rate of strong analgesia, and the rate of acute urinary retention in the ERAS group were significantly lower than those in the control group （P<0.05）. There was no significant difference between the two groups in the incidence of postoperative secondary bleeding, bleeding reoperation and anastomotic stenosis （P>0.05）. The ERAS group did not increase the operation time, and the postoperative hospitalization days and hospitalization expenses were significantly less than those in the control group （P<0.05）. Conclusion ERAS can relieve postoperative perianal pain, reduce acute urinary retention, shorten postoperative hospitalization time, and save medical expenses in patients with annular mixed hemorrhoids. Therefore, its clinical application is safe and feasible.

Key words: enhanced recovery after surgery, mixed hemorrhoids, perioperative period