Abstract: Objective:To investigate the clinical effect of enhanced recovery after surgery（ERAS）combined with acupoint application on gastrointestinal function recovery after laparoscopic radical cystectomy.Methods:100 patients with bladder cancer who were randomly divided into the ERAS group and the ERAS+acupoint application group, 50 patients in each group.The ERAS related treatments were performed in the ERAS group during perioperative period，The ERAS+acupoint application group was based on the ERAS and implemented acupoint application therapy.The recovery time of bowel sounds，the time of first anal exhaust，the time of first defecation，the time of first meal，the time of abdominal distension after surgery and the degree of abdominal distension were observed.Results:The recovery time of bowel sounds，the time of first anal exhaust，the time of first defecation，the time of first meal and the time of abdominal distension after surgery in the ERAS+acupoint application group were（1.56±0.36）d，（3.02±0.38）d，（4.80±0.56）d，（5.40±0.48）d，（3.23±0.52）d，respectively.In the above statistical time，the ERAS group were（2.25±0.52）d，（3.77±0.42）d，（5.58±0.64）d，（6.70±0.36）d，and（5.00±0.66）d，respectively.In the above statistics，ERAS+acupoint application group was significantly shorter than ERAS group（P<0.05）.In ERAS group，there was a significant statistical difference in the number of patients with abdominal distension degree between the first day after surgery and the fifth day after surgery（P<0.05）.〖JP3〗In ERAS+ acupoint application group，there was no statistical difference in the number of patients with abdom〖JP〗inal distension 〖LM〗degree between the first day after surgery and the fifth day after surgery（P>0.05）.However，on the 5th day after the operation，the ERAS+ acupoint application group had a significantly lower degree of abdominal distension than the simple ERAS group，and the difference was statistically significant（P<0.05）.Conclusion:Based on the ERAS，acupoint application was applied to the patients after radical cystectomy，which can effectively promote the recovery of gastrointestinal peristalsis function and is worthy of clinical promotion.

Key words: enhanced recovery after surgery, acupoint application, radical cystectomy, gastrointestinal function