探讨加速康复外科（ERAS）模式在造口旁疝Sugarbaker修补围手术期的应用，优化造口旁疝管理方式及流程。

采用时间分组法，选择中山大学附属第六医院收治的腹腔镜造口旁疝Sugarbaker修补术患者46例，其中2021年1月至12月收治的25例患者为ERAS模式组，采用ERAS理念指导下的围手术期管理；2020年1月至12月收治的21例患者为对照组，采用传统围手术期管理。比较两组患者的一般资料和术后下床时间、进食时间、肠道功能恢复时间、术后住院时间、尿管留置时间、疼痛分级、相关并发症的发生率等，评价ERAS模式的管理效果。

两组患者性别、年龄、体质指数、疝分型比较差异均无统计学意义。ERAS模式组患者术后下床活动时间[（2.8±0.70）d vs（3.4±1.16）d，P=0.036]、进食时间[（1.7±0.55）d vs（3.0±1.56）d，P<0.001]、术后住院时间[（5.8±2.15）d vs（8.5±5.74）d，P=0.033]、造口排气时间[（2.2±0.65）d vs（3.0±1.56）d，P=0.018]，均显著少于对照组（P<0.05），切口疼痛程度明显更轻（χ²=19.510，P<0.001）。ERAS模式组术后出现恶心呕吐1例（4.0%），对照组2例（9.5%），两组术后并发症发生率差异无统计学意义（χ²=0.024，P=0.876）。

ERAS模式在造口旁疝Sugarbaker术围手术期管理中的应用，使得患者整体的康复进程得以加快，没有明显增加并发症发生率，值得推广。

To explore the application of enhanced recovery after surgery (ERAS) in the perioperative period of Sugarbaker repair of parastomal hernia, and to optimize the management mode and process of parastomal hernia.

From January 2021 to December 2021, 25 patients with parastomal hernia undergoing laparoscopic Sugarbaker repair in the Sixth Affiliated Hospital, Sun Yat-sen University were recruited as the ERAS group using the time grouping method. Other group of 21 patients from Januray 2020 to December 2020 were recruited as the control group. Patients in the control group received traditional perioperative management and follow-up. Patients in the ERAS group implemented ERAS concept guidance. The general condition, postoperative intestinal function recovery time, hospitalization time, pain score, incidence of related complications and other indicators were compared between the two groups, and the effect was evaluated.

There were no significant differences in gender, age, body mass index (BMI) and hernia classification between the two groups. Compared with the control group, ERAS group was associated with earlier mobilization[(2.8±0.70) d vs (3.4±1.16) d, P=0.036], shorter oral feeding[(1.7±0.55) d vs (3.0±1.56) d, P<0.001], shorter hospital stay [(5.8±2.15) d vs (8.5±5.74) d, P=0.033], less exhaust time [(2.2±0.65) d vs (3.0±1.56) d, P=0.018], lower pain score at the time 1-3 d after surgery (χ²=19.510, P<0.001). While the postoperative complication rate of ERAS group was 4.0% (1/25), and the control group was 9.5% (2/21), which had no statistic difference (χ²=0.024, P=0.876).

The application of ERAS concept in perioperative management of parastomal hernia Sugarbaker can speed up the overall recovery process of patients, without increasing the incidence of complications, and it is worth popularizing.