目的:探讨加速康复外科(ERAS)理念下的全程导向性管理在听神经瘤患者围术期的应用效果。方法:回顾性分析本科2018年1月至2019年12月住院手术治疗的听神经瘤患者，2019年1月前的患者采取传统门诊—住院治疗管理模式(对照组)；2019年1月后入院的患者(观察组)采取加速康复外科理念下的导向性管理模式，即在传统管理的基础上增加以门诊建档、疾病基础知识介绍、术前术后生活指导、术前术后心理辅导和家庭随访等为主的加速康复外科理念下的全程导向性管理。观察两组患者的第一次医疗接触—出院时间、医疗和护理满意度，并在手术前、出院当天和出院1个月后的采用抑郁自评量表(SDS)和焦虑自评量表(SAS)评估患者心理状态。结果:加速康复外科理念下的全程导向性管理组的第一次医疗接触—出院时间较传统组缩短(n P<0.05)，其医疗和护理满意度提高(n P<0.05)，手术前、出院当天和出院1个月后的SDS评分和SAS评分低于对照组(n P<0.05)。n 结论:加速康复外科理念下的全程导向性管理能显著缩短患者第一次医疗接触—出院时间，降低听神经瘤患者手术前后的焦虑和抑郁情绪，并且可提升患者对医疗和护理的满意度。“,”Objective:To explore the application effect of whole-course guided management under the concept of enhanced recovery after surgery (ERAS) in perioperative period of patients with acoustic neuroma.Methods:Retrospective analysis was performed on the patients with acoustic neuroma treated by inpatient surgery in our department from January 2018 to December 2019. The patients before January 2019 adopted the traditional outpatient and inpatient treatment management mode were in the control group. Patients admitted after January 2019 were in the observation group. The experimental group adopted the guided management mode under the concept of enhanced recovery after surgery. In other words, on the basis of the traditional management, the whole-course guided management under the concept of enhanced recovery after surgery was added, which mainly included outpatient documentation, introduction of basic disease knowledge, preoperative and postoperative life guidance, preoperative and postoperative psychological guidance and family follow-up. Patients in both groups were observed for their first medical contact-discharge time, medical and nursing satisfaction, and psychological status was assessed by self-rating depression Scale (SDS) and self-rating anxiety scale (SAS) before surgery, on the day of discharge, and 1 month after discharge.Results:The first medical contact discharge time of the whole-course oriented management group under the concept of accelerated rehabilitation surgery was significantly shorter than that of the traditional group, and its medical and nursing satisfaction was significantly improved (n P<0.05); the SDS score and SAS score before operation, on the day of discharge and 1 month after discharge in the observation group were significantly lower than those of the control group (n P<0.05).n Conclusions:The whole-process guided management under the concept of enhanced recovery after surgery can significantly shorten the time of patients′ first medical contact and discharge, reduce anxiety and depression in patients with acoustic neuroma before and after surgery, and improve patients′ satisfaction with medical treatment and care.