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刺激性螺旋计在患有肺癌的外科患者中的效果 - - 一个系统性审查和元分析
Yan Liang1,2, Shaolin Chen1,2, Jiamei Song1,2
1Nursing Department, Affiliated Hospital of Zunyi Medical University, No. 149, Dalian Road, Huichuan District, Zunyi City, Guizhou Province, 563000, China.
激励性螺旋计 (IS) 可以改善肺功能,并减少肺癌患者接受手术的并发症. 然而,其作为独立疗法的特定益处需要进一步研究.
科学领域:
- 肺部康复治疗 肺部康复治疗
- 在瘤学瘤学.
- 呼吸系统医学 呼吸系统医学
背景情况:
- 激励性螺旋计 (IS) 是一种常见的外科手术期间呼吸疗法.
- 它在肺癌患者中的有效性仍在争论中.
- 本综述评估了在肺癌中进行外科手术期间肺部康复的IS.
研究的目的:
- 评估激励性螺旋计 (IS) 在肺癌患者的外科手术期肺康复中的有效性.
- 综合了随机对照试验中关于IS在这个人群中的使用的证据.
主要方法:
- 从多个数据库对随机对照试验 (RCT) 进行系统审查,截至2023年11月.
- 遵循PRISMA指南;使用Cochrane偏差风险工具评估研究质量.
- 使用Review Manager 5.4进行的元分析,具有灵敏度和子组分析.
主要成果:
- 包括9个涉及1209名患者的RCT.
- 作为综合方法的一部分,IS减少了术后肺部并发症,改善了肺功能,缩短了住院时间.
- 在6分钟步行距离或生活质量得分方面没有明显的改善.
结论:
- 作为肺癌患者综合性术后护理的一部分,IS是有益的.
- 作为独立干预的IS的确切影响尚不清楚.
- 需要进一步的研究来澄清IS的有效性及其与其他疗法的相互作用.
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