手术前的肺部康复在术后的肺切除术后有效吗?
Hatice Kökez1, Hakan Keskin1, Makbule Ergin1
1Department of Thoracic Surgery, faculty of Medicine, Akdeniz university, Antalya, Turkey.
African health sciences
|August 7, 2023
概括
手术前的肺部康复显著减少了肺切除手术患者的并发症和住院时间. 这种密集的计划可以改善接受胸切除术,叶片切除术或切除术的患者的治疗结果.
科学领域:
- 胸部外科手术 胸部外科手术
- 肺部医学 肺部医学
- 康复医学 康复医学 康复医学
背景情况:
- 肺切除手术,通常通过胸切除术进行,携带术后并发症和长时间住院的风险.
- 优化手术前患者的状况对于减轻手术风险和改善康复至关重要.
- 肺部康复计划是慢性呼吸道疾病的既定干预措施,但它们的短期手术前应用需要进一步调查.
研究的目的:
- 评估一个短期的,密集的手术前肺部康复计划对肺功能,并发症率和接受肺切除的患者住院的影响.
- 为了比较接受重度手术前肺部康复治疗的患者和接受标准护理的患者的术后结果.
主要方法:
- 一项前性随机试验,涉及60名计划通过胸切除术进行肺切除的患者.
- 患者被随机分配到密集肺部康复组 (手术前7天每天3小时) 或对照组.
- 评估的结果包括螺旋计肺功能,呼吸道和血液气体参数,并发症率和住院时间.
主要成果:
- 术后并发症的发生率在对照组明显高于密集肺部康复组 (p=0.028).
- 在对照组中接受带切除或切除的患者比研究组的患者在医院住院时间统计上更长 (p<0.05).
结论:
- 短期,密集的手术前肺部康复计划对接受胸切除术进行肺切除的患者是有益的.
- 对于计划进行带切除或切除的患者,实施这种康复计划可以减少并发症和更短的住院时间.
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