Table 1.

Perioperative management of two groups of patients with lumbar disc herniation

Implementation projects	ERAS group	Traditional group
Preoperative
Sedation and analgesia	Yes	No
Education	Pre-operative education program + pre-operative counseling	Traditional education
Skin preparation	Area skin cleansing + operation area skin pre-depletion	Routine operations
Diet	No need to fast water or water deprivation	fasting 6 h, water deprivation 2 h
Prevention of gastrointestinal reactions	Application of serotonin receptor antagonists	No
Intraoperative
Anesthesia monitoring	Anesthesiologist for intraoperative testing, if necessary, analgesia and other drugs	No
Prevention of hypothermia	Keep warm and prevent low temperature	No
Operation	Local subcutaneous injection of ropivacaine to relieve postoperative incision pain	No
Postoperative
Postoperative analgesia	Active administration, avoiding opioid use, NSAIDs use	Analgesia on demand
Postoperative rehydration	No	Intravenous injection of dexamethasone 10 mg/day, for a total of 3 days
Postoperative nutrition	Nutritionists develop perioperative nutrition plans	Normal diet
Exercise of lumbar back muscle function	The rehabilitation physician formulates the rehabilitation exercise plan of psoas dorsal muscle and core muscle group after operation	Exercise of lumbar back muscle function
Getting out of bed	3 h postoperative	48 h postoperative

ERAS enhanced recovery after surgery