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Objective To investigate the clinical effect of CT 3D reconstruction and precise hepatectomy in the enhanced recovery after surgery（ERAS） of hepatic hydatidosis.Methods Sixty patients with hepatic hydatidosis treated in this hospital from April 2020 to June 2022 were selected.The random number generation expert V1.5 software was used to generate the random numbers, then the odd even number method is adopted by flipping a coin, the odd number was set as the study group and the even number was set as the control group, 300 cases in each group.The study group adopted the 3D reconstruction, precise hepatectomy and perioperative ERAS management, while the control group was not given the preoperative 3D reconstruction, but only the perioperative ERAS management.The indexes of operation mode, operation time, intraoperative bleeding volume, postoperative complications（pulmonary infection, pleural effusion, ascites, bile leakage, etc.）,hospital stay duration, hospitalization costs, doctor-patient communication satisfaction were compared between the two group.Results There were no statistically significant differences in the age, gender, complicating disease, preoperative liver function and operation mode between the two groups（P＞0.05）.There was the comparability.The operation in the two groups was successful without perioperative death case.There were statistically significant differences in the operation time, intraoperative bleeding volume, lung infection, pleural effusion, hospitalization duration and costs between the two groups（P＜0.05）.Conclusion The CT 3D reconstruction and precise hepatectomy have significant effect in ERAS of hepatic hydatidosis, reduce the operation time and intraoperative bleeding volume, shorten the hospital stay, reduce the hospitalization expenses and improve the doctor-patient communication satisfaction. [ABSTRACT FROM AUTHOR]

In order to evaluate the performance of precipitable water vapor (PWV) inversion from reanalysis data in specific areas and under specific weather conditions, an atmospheric weighted mean temperature model was established based on the observation data of Guilin radiosonde stations from 2015 to 2017. The continuous operating reference stations (CORS) precipitable water vapor (CORS-PWV) calculated by the model was used as the reference value, and was compared with the PWV extracted from the two reanalysis data ERAS and MERRA-2. The results show that compared with Bevis model, Guangxi model and Eastern China model, the accuracy of the new model is improved by 8.1%, 13.1% and 17.1%, respectively. In the course of a rainstorm, taking the CORS-PWV of day of year from 178-183 in 2017 as reference value, the mean bias and RMSE of PWV extracted by ERAS are 1.55 mm and 3.38 mm respectively, while the mean bias and RMSE of PWV extracted by MERRA-2 are -1.60 mm and 6.18 mm. The PWV extracted by ERAS has a better consistency with the PWV retrieved by CORS station, which is consistent with the actual ground precipitation situation. [ABSTRACT FROM AUTHOR]

Modified electroconvulsive therapy （MECT） is an improved treatment for mental disorders by delivering a proper dose of intravenous anesthetics and muscle relaxants based on traditional electroconvulsive therapy. An increasing number of patients receive MECT at a younger age. Frequent MECT may cause intense psychological stress to the patients. Enhanced recovery after surgery （ERAS） can accelerate postoperative recovery by optimizing perioperative management interventions, mitigating stress response and lowering the risk of postoperative complications. ERAS concept emphasizes multidisciplinary collaboration. In recent years,this concept has been promoted and applied in a variety of surgical procedures. However, the application of ERAS in MECT has been rarely studied. In this article, the management measures and operation procedures of ERAS in MECT were summarized, aiming to provide reference for the standardized implementation of ERAS in MECT.

Objective: To investigate the effect of ERAS and Dachengqi Granules on surgical stress in patients after gastrointestinal surgery. Methods: Eighty gastrointestinal surgery patients admitted to our hospital in the past 3 years were randomly divided into a research group and a control group, with 40 patients in each group. ERAS and Dachengqi granules were taken in the two groups, Traditional treatment methods and conventional Western medicine treatment combined with placebo, comparing the effects of different treatment methods on patients' surgical stress during the perioperative period. Results: There was no statistically significant difference in pre-operative psychological (HAMA) and physiological (CRP, epinephrine, cortisol) stress indicators between the two groups of patients (P>0.05). Seven days after surgery, all stress indicators of the study group were obvious Lower than the control group (P<0.05). The first exhaustion time, the first postoperative defecation time, the first time after bed activity, and the average hospital stay of the study group were significantly shorter than those of the control group (P<0.05). There was no statistical difference between the nutritional status of the patients in the group before the operation(P>0.05). The comparison index found that each nutrition index gradually recovered after the stress was reduced, and the decrease in the 3 d postoperative period of the study group was significantly lower than that of the control group (P<0.05), and gradually returned to the preoperative level 7 days after the operation. Conclusion: ERAS and Dachengqi granules after gastrointestinal surgery are more conducive to the recovery of gastrointestinal function of patients after surgery, the postoperative stress response was lighter, and the nutritional status of patients is stable, which can shorten the hospitalization time of patients and encourage patients to postoperatively. Rehabilitation is worthy of clinical application. [ABSTRACT FROM AUTHOR]

In the elderly, patient who suffered from hip fracture need to stay in bed for a long time and has a higher prevalence of complications and mortality. Considering the factors of patients in the intraoperative death and postoperative rehabilitation, we take appropriate treatment measures during preoperative, intraoperative and postoperative period respectively based on the concept of Enhanced Recovery. Patient will benefit from rapid rehabilitation and reduction of incidence of complications and mortality. ERAS includes preoperative fasting, preventive anagelsia, intraoperative temperature control, anesthesia and surgical approach, postoperative intravenous restriction, nutritional support and painless early motion. This article intends to review the security, reliability and clinic efficacy of ERAS. [ABSTRACT FROM AUTHOR]