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对接受内血管大动脉动脉瘤修复手术的患者进行多模式预康复:可行性研究
Miquel Coca-Martinez1,2,3, Jade St-Pierre4, Elie Girsowicz5
1Division of Vascular Surgery, Department of Surgery, McGill University, Montreal, QC, Canada.
概括
多模式预康复是接受内血管大动脉动脉瘤修复 (EVAR) 的患者的安全和可行的方法. 该计划显著提高了术前功能能力和生活质量,有助于康复.
科学领域:
- 血管外科 血管外科
- 康复前医学 康复前医学
- 患者的治疗结果.
背景情况:
- 内血管大动脉动脉瘤修复 (EVAR) 与开放修复相比,对于腹部大动脉动脉瘤来说,是一种不那么侵入性的选择.
- 尽管EVAR有好处,但恢复通常需要三个多月才能恢复手术前的生活质量.
- 在EVAR之前优化患者健康对于更好的外科手术结果至关重要.
研究的目的:
- 评估EVAR患者多模式预康复计划的安全性和可行性.
- 评估预康复对术后功能能力和生活质量的影响.
主要方法:
- 进行了为期6周的预康复计划,包括运动,营养,心理社会支持和戒烟.
- 参与者是EVAR的候选人,患有下腹动脉动脉瘤 (<7.5厘米).
- 功能能力和生活质量在基线,手术前和手术后6周被测量.
主要成果:
- 24名患者 (70%男性) 完成了该研究,没有任何不良事件.
- 在家庭培训 (100%) 和营养 (100%) 方面观察到高合规率.
- 该计划显著改善了手术前的功能能力和生活质量.
结论:
- 多模式预康复是等待EVAR的患者的安全和可行的干预措施.
- 预康复表明,在手术前的功能能力和生活质量显著改善.
- 需要进一步的研究来确定长期的术后益处.
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