骨科手术后的手术后蛋白质补充:一个系统的审查
Andrew George1, Brendan M Holderread1, Bradley S Lambert1,2
1Houston Methodist Orthopedics and Sports Medicine, 6445 Main Street Suite 2300, Houston, TX, 77030, USA.
Sports medicine and health science
|March 11, 2024
概括
口服蛋白质补充剂可以帮助减少肌肉缩,改善骨科手术后的康复. 这次审查发现,在各种程序中都有有益的影响,有助于恢复和功能结果.
科学领域:
- 整形外科手术 整形外科手术
- 营养科学 营养科学
- 康复医学 康复医学 康复医学
背景情况:
- 整形外科手术往往导致机械负荷下降,增加术后肌肉缩的风险.
- 肌肉缩可以显著损害患者的恢复,功能性移动性和手术后的整体结果.
研究的目的:
- 系统地审查有关口服蛋白质补充剂在缓解术后肌肉缩方面的有效性现有证据.
- 评估蛋白质补充剂对形外科手术后功能和生理措施的影响.
- 根据蛋白质摄入量评估患者的结果和康复基准.
主要方法:
- 按照PRISMA指南进行了系统审查.
- 在PubMed (MEDLINE),Embase,Scopus和Web of Science进行了相关随机对照试验的搜索.
- 包括包括在骨科手术中接受蛋白质或氨基酸补充剂的患者的研究,主要结局是肌肉缩和力量.
主要成果:
- 分析了14项涉及611名接受ACL重建,关节/膝关节整形或关节骨折手术的患者的研究.
- 与安慰剂相比,蛋白质补充剂显示肌肉缩显著减少,按肌肉横截面积测量.
- 在所有手术类型中观察到有益影响,包括改善功能措施和更快的康复.
结论:
- 口服蛋白质补充剂是有效的减少肌肉缩在术后期,以下常见的骨科手术程序.
- 补充与增强功能恢复和加速实现康复里程碑相关.
- 进一步的研究是有必要的,以探索长期的影响,并优化标准化,人群特定的补充方案.
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