在腹壁手术后使用可穿戴活动监测器量化术后恢复:AbTech试验
Richard Mark Kwasnicki1, Emmanuel Giannas2, Chiara Rizk2
1Department of Surgery and Cancer, Imperial College London, London, UK; Department of Plastic and Reconstructive Surgery, Imperial College Healthcare NHS Trust, London UK.
概括
可穿戴活动监测器 (WAMs) 可以客观地测量腹壁手术后的功能性移动性恢复. 手术后的身体活动 (PA) 水平表明恢复,在六个月后有所改善.
科学领域:
- 手术恢复和康复的治疗方法
- 生物医学工程和可穿戴技术
- 患者的结果和生活质量.
背景情况:
- 评估腹壁手术后的功能性移动性对于恢复至关重要.
- 需要客观的测量工具来跟踪身体活动 (PA) 的变化.
- 可穿戴活动监控器 (WAM) 为客观的PA监控提供了一个潜在的解决方案.
研究的目的:
- 为验证可穿戴活动监测器 (WAMs) 在腹壁手术后测量功能移动性.
- 量化和比较手术前和手术后的体力活动 (PA) 水平.
- 用客观的PA数据评估恢复正常功能移动性的情况.
主要方法:
- 在多个中心进行了前性观察性队列研究.
- 接受腹壁手术的患者在同意后被录取.
- 参与者在手术前48小时佩戴WAM (AX3,Axivity),在术后2周,并在术后6个月再次佩戴WAM.
主要成果:
- 这项研究包括20名患者 (平均年龄为47.3±13.0岁).
- 手术后的血压明显下降,在手术后立即达到手术前水平的32.6%.
- 在术后的第14天,PA恢复到手术前水平的64.6%,并在六个月后增加了16.4% (p=0.046).
结论:
- 腹壁外科手术是有效的工具,可以客观地评估腹壁外科手术后的术后恢复.
- 在手术后量化PA减少证实了WAM在追踪恢复中的实用性.
- 腹壁手术可以通过在手术后六个月改善功能移动性来提高生活质量.
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