在肝切除术后期使用电子设备进行呼吸道肌肉训练:一项随机研究
Marcelo Gustavo Pereira1, Aurea Maria Oliveira Silva2, Fernanda Diório Masi Galhardo3
1Hospital de Clínicas, Universidade Estadual de Campinas, Campinas 13076-4151, São Paulo, Brazil. marcelogustavo@hc.unicamp.br.
World journal of hepatology
|June 12, 2023
概括
启发性肌肉训练显著改善了呼吸功能,并预防了肝切除术后的并发症. 这种康复方法增强了最大的启发压力,可能导致更好的患者结果.
科学领域:
- 肝胆道手术 肝胆道手术
- 呼吸系统康复 呼吸系统康复
- 新生体治疗的方法
背景情况:
- 有限的研究解决了手术前和手术后康复在尽量减少手术后呼吸道并发症的作用.
- 肝切除术患者有肺部并发症的风险,需要有效的干预措施.
研究的目的:
- 通过腹腔切除术比较呼吸肌肉强度前和后的肝切除术.
- 在接受肝切除术的患者中评估术后肺部并发症的发生率.
主要方法:
- 一项前性随机临床试验比较了一个启发性肌肉训练组 (GTMI) 和一个对照组 (CG).
- 呼吸机制,生命体征和ALBI分数在手术前和手术后的第1天和第5天进行了评估.
- GTMI接受了传统的物理治疗加上启发性肌肉训练;CG接受了传统的物理治疗.
主要成果:
- 在GTMI组中没有出现呼吸道并发症,而在CG组中只有三个.
- 在手术后的第5天,GTMI组的最大吸气压明显改善,与CG组相比.
- 这两组从手术前到手术后的第一天,呼吸变量显著下降.
结论:
- 在所有患者中,手术后的呼吸指标都下降了,但吸入肌肉训练改善了最大的吸入压力.
- 启发性肌肉训练可以减少住院时间,并改善肝切除术后的临床结果.
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