手术前的运动训练减少了微创性肺癌手术的并发症:一项随机对照试验
Nanjiang Zhou1, Jeffrey W Ripley-Gonzalez1, Wenliang Zhang2
1Division of Cardiac Rehabilitation, Department of Physical Medicine & Rehabilitation, Xiangya Hospital of Central South University, Changsha, Hunan, China.
The Journal of thoracic and cardiovascular surgery
|April 13, 2024
概括
术前运动显著减少了非小细胞肺癌微创手术患者的短期并发症和住院时间. 这种干预也改善了手术后的患者福祉和生理标志物.
科学领域:
- 胸部外科手术 胸部外科手术
- 在瘤学瘤学.
- 运动生理学 运动生理学
背景情况:
- 针对非小细胞肺癌 (NSCLC) 的微创肺切除可以导致短期并发症.
- 关于手术前运动减轻这些并发症的疗效的证据有限.
研究的目的:
- 调查手术前运动对NSCLC患者微创肺切除后短期并发症的影响.
- 评估手术前运动对患者福祉和生理参数的影响.
主要方法:
- 一项前性随机对照试验,涉及101名接受微创手术的NSCLC患者.
- 患者被分配到16天的受监督的手术前炼计划或对照组.
- 主要结局是30天内的短期术后并发症;次要结局包括住院时间,生活质量和生理标志物.
主要成果:
- 手术前炼组经历的术后并发症显著减少 (3/51比10/50) 和住院时间缩短 (平均差异为-2天).
- 手术前的运动改善了抑郁症,压力,功能能力和生活质量.
- 在运动组中观察到手术内血压,手术后体温和炎症标志物 (中性粒细胞与淋巴细胞的比率,中性粒细胞数量) 的显著降低.
结论:
- 术前运动训练有效地减少了非小细胞肺癌患者的短期术后并发症.
- 这种运动干预提供了一个有希望的策略,以提高肺癌手术后的康复和福祉.
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