Objective To explore the application and clinical effect of enhanced recovery after surgery （ERAS）strategy in patients undergoing renal transplantation. Methods A total of 188 patients undergoing renal transplantation from July 2017 to July 2018 were assigned into a control group and an intervention group， patients in control group received conventional perioperative care and patients in intervention group received ERAS intervention. Results The intervention group showed lower self-rating anxiety scale（SAS）scores（P ＜ 0.05）， experienced shorter postoperative hospital stay（P ＜ 0.05）compared with the control group. The complications and patient satisfaction didn’t show statistical differences（all P ＞ 0.05）. Besides，hospitalization costs decreased in intervention group（P ＜ 0.05）. Conclusion Application of ERAS concept in perioperative period of renal transplantation accelerated rehabilitation，shortened postoperative hospital stay and decreased costs.

目的 探讨加速康复外科（enhanced recovery after surgery，ERAS）在肾移植患者围术期的应 用方式及临床疗效。方法 选取 2017 年 7 月— 2018 年 7 月在吉林大学第一医院接受肾移植手术的 188 例尿 毒症患者，将其分为对照组及观察组。对照组给予传统的围术期护理措施，观察组给予由医护人员共同制 定的围术期加速康复外科护理措施。 结果 与对照组相比，观察组术后住院天数缩短（P ＜ 0.05），焦虑症 状自评量表（self-rating anxiety scale，SAS）得分项平均水平低（P ＜ 0.05），并发症发生率无统计学差异（P ＞ 0.05），住院期间患者满意度无统计学差异（P ＞ 0.05），住院花费减少（P ＜ 0.05）。 结论 ERAS 理念应用 于肾移植术后患者围术期管理，将会加速术后康复、缩短住院天数以及减少住院花费。