在腹部癌症手术后早期动员和术后并发症之间存在关联
Andrea Porserud1, Markus Aly2, Malin Nygren-Bonnier1
1Karolinska Institutet, Division of Physiotherapy, Department of Neurobiology, Care Sciences and Society, Alfred Nobels Allé 23, 23100, 141 83, Huddinge, Sweden; Karolinska University Hospital, Medical Unit Occupational Therapy and Physiotherapy, Women's Health and Allied Health Professionals Theme, 171 76, Stockholm, Sweden.
概括
在腹部癌症手术后的早期动员没有显示出与减少住院再接收或并发症严重性的联系. 这项研究增加了关于早期患者移动和术后结果的有限证据.
科学领域:
- 在瘤学瘤学.
- 外科手术的结果
- 康复 康复 康复 康复
背景情况:
- 在进行重大癌症手术后,术后并发症和重入院是常见的.
- 目前的建议建议提前动员 (每天2-6小时),以减轻这些风险.
- 然而,支持早期动员对术后并发症的影响的有力证据有限.
研究的目的:
- 评估早期动员和腹部癌症手术后医院再入院之间的关联.
- 研究早期动员和术后并发症的严重程度之间的关系.
主要方法:
- 包括接受腹部癌症手术 (卵巢,结肠直肠,膀) 的成年患者.
- 用活动监测器测量患者的活动,量化了手术后前三天的平均步骤.
- 30天内再入院和并发症严重程度分别是主要和次要结局,使用后勤回归分析.
主要成果:
- 在133名患者中,25名患者在30天内重新入院.
- 该研究发现,早期动员程度和医院再入院之间没有统计学上显著的关联.
- 早期动员和术后并发症的严重程度之间没有观察到相关性.
结论:
- 在腹部癌症手术后的早期动员似乎不会影响再入院的可能性或并发症的严重程度.
- 这项研究为了解早期动员在重大腹部癌症手术后恢复过程中的作用提供了宝贵的数据.
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