抓握强度是营养风险和胃肠道瘤进行腹腔镜手术的早期术后行走的重要预测因素:一项前性多中心临床研究
Jing Zhou1, Xiao Liu1, Xin Guo1
1Department of General Surgery, The First Medical Center, Chinese PLA General Hospital, Beijing, China.
World journal of surgical oncology
|August 29, 2023
概括
手术前的握力是胃肠道瘤手术患者早期行走能力和营养状况的关键预测因素. 较低的握力表明,男性和女性接受腹腔镜手术的风险更高.
科学领域:
- 手术瘤学手术瘤学
- 老年医学 老年医学
- 康复医学 康复医学 康复医学
背景情况:
- 早期行走对于胃肠道瘤手术后的康复至关重要.
- 术后行走和营养风险的预测因素尚未得到充分证实.
- 胃肠道瘤的腹腔镜手术带来了独特的恢复挑战.
研究的目的:
- 确定影响胃肠道瘤患者早期术后行走的因素.
- 评估手术前的握力作为营养风险和行走的预测指标.
- 在风险评估中确定握力关键值.
主要方法:
- 预计将招募427名接受腹腔镜胃肠道瘤手术的患者.
- 后勤回归分析以确定早期行走的独立预测因素.
- 用于营养风险评估的握力与2002年营养风险评分 (NRS 2002) 的比较.
主要成果:
- 性别,手术前握力的强度,手术时间和内置管的数量预测了行走.
- 较低的握力是男性和女性患者的风险因素.
- 确定了用于风险预测的特定握力值 (男性<32公斤,女性<21公斤).
结论:
- 握力是衡量肌肉力量的简单,客观的指标.
- 手术前的握力有效地预测了早期的术后行走.
- 握力测量可以评估营养状况和行走潜力.
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