尾切除术和喘:在老年人中寻找一种关联
K L Koay1, M A Mohd Zim2, N P Botross3
1Hospital Serdang, Department of General Surgery, Kajang, Selangor, Malaysia.
The Medical journal of Malaysia
|January 30, 2024
概括
预康复在手术前显著改善胃和食道癌症患者的功能能力和营养状况. 这种干预也减少了术后住院和并发症,提高了患者的康复结果.
科学领域:
- 在瘤学瘤学.
- 手术瘤学手术瘤学
- 老年医学 老年医学
背景情况:
- 癌症手术,特别是胃切除和食道切除,由于术后并发症,具有显著的发病风险.
- 预康复对于提高患者在手术前的功能能力和营养状况至关重要,以更好地应对术后的挑战.
- 在手术前优化患者状况对于改善手术结果和缩短恢复时间至关重要.
研究的目的:
- 评估预康复干预措施对接受胃切除和食道切除的患者功能状况的有效性.
- 评估预康复对术后结果的影响,包括住院时间和并发症率.
- 确定预康复的最佳持续时间,以最大限度地提高患者的益处.
主要方法:
- 一项干预性研究涉及马来西亚国家癌症研究所接受手术的胃和食道癌症患者.
- 预康复干预侧重于功能能力 (ECOG性能状态),肌肉功能 (手握),心肺功能 (峰值流量计) 和营养状况 (卡路里和蛋白质摄入量).
- 术后结果以住院时间,并发症和Clavien-Dindo分类来衡量.
主要成果:
- 前期康复治疗一周后显著改善了功能能力和营养状况,包括气流量计,手握强度,ECOG性能状态,步行距离和激励螺旋计.
- 需要两周的预康复治疗的患者在峰值呼气流量计,手握强度和激励螺旋计方面显著改善.
- 预康复显著与住院时间缩短,并发症减少以及术后更好的Clavien-Dindo分类得分相关.
结论:
- 预康复干预措施有效地提高了癌症患者的术前功能能力和营养状况.
- 预康复同时减少了术后住院和并发症,从而改善了患者的康复.
- 一些患者可能需要超过两周的预康复,以达到最佳的功能能力,并尽量减少术后并发症.
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