Clinical study of enhanced recovery after surgery in laparoscopic appendectomy for acute appendicitis

Table 1 Two sets of perioperative management protocols

	Control group	Experimental group
Food and drink	Eat liquid diet and drink water after exhaust	Eat liquid diet 12 h after surgery
Off-bed activity	Voluntary	Off-bed activity 6 h after surgery
Pain relief for wounds	No	Wound infiltration anesthesia with ropivacaine
Postoperative analgesia	Use painkilling drug when the pain is obvious	Intravenous NSAIDs were administered for analgesia on the first day after surgery
Oral administration of Si Mo Tang	No	Oral administration of the drug 10 mL/dose on postoperative day 1-2, tid
Chewing gum	No	Starting at 6 h after surgery, 20 min per session, tid

NSAIDs: Nonsteroidal anti-inflammatory drugs.

Table 2 Comparison of observed indexes between two groups of patients (mean ± SD)

	Experimental group	Control group	P value
Postoperative exhaust time (h)	17.18 ± 5.87	23.09 ± 6.18	< 0.01
Postoperative hospitalization time (d)	3.44 ± 1.23	4.63 ± 1.84	< 0.01
Hospitalization expenses (CNY)	8538.54 ± 1435.27	9493.41 ± 1814.11	< 0.01
Degree of pain sensation (NRS)	2.92 ± 0.69	4.80 ± 1.35	< 0.01

CNY: Chinese yuan; NRS: Numerical rating scale.

Table 3 Analysis of clinicopathological features of 120 patients

Clinicopathological features	n	Experimental group	Control group	P value
Sex	120	63	57
Male	60	34	26	0.361
Female	60	29	31
Age (yr)
≤ 60	107	58	49	0.283
> 60	13	5	8
BMI
≤ 25 kg/m2	95	52	43	0.339
> 25 kg/m2	25	11	14
SAGS score
1	27	11	16	0.381
2	51	30	21
3	31	15	16
4	11	7	4

BMI: Body mass index; SAGS: Sunshine appendicitis grading system.