大型腹部癌症手术后的实际体力活动:远远不是最佳的
Rianne N M Hogenbirk1, Allard G Wijma1, Willemijn Y van der Plas2
1Department of Surgery, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
概括
在主要的腹部癌症手术患者中,术后体力活动较低,影响恢复. 识别低活动的危险因素可以改善患者的治疗结果并减少并发症.
科学领域:
- 在瘤学瘤学.
- 术后恢复 术后恢复
- 测量身体活动的测量方法
背景情况:
- 手术后增强恢复 (ERAS) 协议强调早期动员.
- 关于主要腹部癌症手术后实际身体活动水平的数据有限.
研究的目的:
- 在接受重大腹部癌症手术的患者中量化术后的身体活动.
- 为了确定与低体力活动相关的患者相关因素.
- 检查低体力活动对并发症率和住院时间的影响.
主要方法:
- 从2019-2021年开始,在一个中心进行了前性队列研究.
- 术后的身体活动用加速度计测量.
- 记录了患者的人口统计,手术细节和结果.
主要成果:
- 平均每日步数较低,从术后第一天的71步增加到第七天的918步.
- 低体力活动与年龄较大,手术前减肥,表现不佳,中线腹腔切除术和更长的手术持续时间有关.
- 减少体力活动与增加的并发症和长时间住院相关.
结论:
- 接受重大腹部癌症手术的患者在术后体力活动较低.
- 身体活动水平与术后结果有关,包括并发症和住院时间.
- 确定患者特异性风险因素可以帮助针对那些有低体力活动风险的人进行针对性干预.
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