Abstract:Objective To evaluate the effect of enhanced recovery after surgery (ERAS) in the perioperative period of cesarean section by Meta analysis. Methods CNKI, Wanfang, VIP, Chinese Biomedical Literature Database, Pubmed, Embase, Cochrane library database were searched by computer. According to inclusion and exclusion criteria, the relevant literatures and required data were screened, extracted and evaluated for quality. Meta-analysis was performed with Revman 5.3 software. Results Twelve randomized controlled trials were included in the Meta-analysis. The results showed that the time to first postoperative flatus (SMD=-1.61,95%CI -2.17--1.04, P<0.01), the time to first postoperative off-bed activity ( SMD=-3.99,95%CI -5.34--2.64, P<0.01) , the initial lactation time ( SMD=-2.91,95%CI -4.18--1.65, P<0.01) , postoperative hospital stay ( SMD=-1.69,95%CI -2.33--1.04, P<0.01) , incidence of postoperative complications ( RR=0.39,95%CI 0.30-0.50, P<0.01) and hospital costs ( SMD=-15.76,95%CI -24.29--7.23, P<0.01) significantly shortened or decreased in the patients treated with ERAS compared with the patients with traditional perioperative nursing. Conclusion ERAS is safe and effective in the perioperative period of cesarean section patients. It can accelerate the physical and mental recovery of puerpera and relieve the economic pressure on their families and society.