Abstract: Objective To investigate the impact of perioperative systematic management under the concept of enhanced recovery after surgery(ERAS) on postoperative recovery and short-term prognosis of patients with intracranial meningioma. 
Methods The clinical data of 113 patients with intracranial meningioma treated in our hospital were collected for a retrospective cohort study. According to different nursing programs, they were divided into the control group(n=56) and the observation group(n=57). The control group was treated with routine nursing and the observation group was supplementd with perioperative systemic management under the concept of ERAS. The postoperative recovery(duration of ICU stay, length of hospitalization, the first time of off-bed activity, time of first defecation), recent prognosis, incidence of complications and nursing satisfaction in the two groups were calculated. Post-traumatic stress disorder self-rating scale(PTSD-SS) and medical coping style questionnaires(MCMQ) before and after nursing were compared. 
Results The duration of ICU stay, length of hospitalization, the first time of off-bed activity and first defecation time were shorter than those in the control group(P＜0.05). The scores of the five dimensions of the PTSD-SS scale in the observation group after intervention were lower than those of the control group(P＜0.05). The avoidance and yield scores of the observation group after intervention were lower than those of the control group, and the face score was higher than that of the control group(P＜0.05). At 1 month, 2 months, and 3 months after operation, the KPS score of the observation group was higher than that of the control group(P＜0.05). The incidence of complication in the observation group was lower than that of the control group, while the nursing satisfaction was higher than that of the control group(P＜0.05). 
Conclusion Perioperative systemic management under the concept of ERAS can be applied to patients with intracranial meningioma, which can promote postoperative recovery, reduce post-traumatic stress disorder, improve patients′ coping style and prognosis, and play a positive role in reducing the incidence of complications and improving nursing satisfaction of the patients. 

Key words: intracranial meningioma, concept of enhanced recovery after surgery, perioperative systemic management