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在接受结直肠癌手术的患者中,使用倾向性得分匹配分析进行了比较研究,有或没有多模式预康复

Daniel Mauricio Londoño Estrada¹, Fábio Lopes de Queiroz², Luiza Iannotta Guerra²

¹Department of Colorectal Surgery, Felicio Rocho Hospital, Av. do Contorno 9530-Barro Preto, Rua Tenente Brito Melo 496, Belo Horizonte, MG, CEP 30180070, Brazil. lon09@hotmail.com.

International journal of colorectal disease

|October 25, 2023

概括

多模式预康复可以减少结直肠手术患者的术后并发症. 虽然初步结果显示了类似的并发症率,但调整后的分析表明,预康复降低了并发症风险,并可能减少医院再入院和急救室访问.

科学领域:

结肠直肠手术结肠直肠手术
手术瘤学手术瘤学
在外科手术期间的医学.

背景情况:

大型腹部手术,包括结肠直肠手术,并发症率很高 (35-50%).
多模式预康复旨在解决手术前的问题,增强康复和减少发病率/死亡率.
在结直肠癌 (CRC) 手术中,优化患者康复至关重要.

研究的目的:

评估多模式预康复对接受结直肠手术的患者手术后后果的影响.
为了比较预康复和没有预康复组之间的并发症率,医院再入院和急诊室访问.
为了确定预康复是否影响CRC手术后术后并发症的风险.

主要方法:

2020年11月至2022年9月对CRC患者的观察研究.
患者被分为预康复 (PPH) 和没有预康复 (NPPH) 组.
倾向性得分匹配 (PSM) 用于比较人口统计,癌症,手术和术后数据.

主要成果:

在PSM之后,46名患者在PPH和63名患者在NPPH.
在整体术后并发症或综合并发症指数 (CCI) 中没有显著差异.
多变量分析显示,预康复显著降低了术后并发症的风险 (OR:0.659,p=0.019),并显示了减少再入院和急救室访问的趋势.

结论:

术后并发症率和停留时间 (LOS) 最初在各组之间相似.
多模式预康复与经过调整分析后手术后并发症风险降低有关.
前期康复可能会导致更少的急诊室访问和大肠直肠手术患者的再入院.

关键词:

结肠直肠癌是一种癌症.结肠直肠外科手术是什么意思多模式预康复多模式预康复

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