在接受结肠直肠癌手术的患者中进行预康复干预:系统性审查和元分析
Yi-Shu Liao1,2, Hsiao-Yean Chiu2,3, Fu-Huan Huang4,5
1College of Nursing, National Yang Ming Chiao Tung University, Taipei, Taiwan.
Journal of the American Geriatrics Society
|March 13, 2025
概括
在结直肠癌手术前的多式预康复显著缩短了住院时间,减少了并发症. 这种方法有助于恢复,特别是在接受手术切除的老年患者中.
科学领域:
- 在瘤学瘤学.
- 外科胃肠道外科手术
- 基于证据的医学基于证据的医学.
背景情况:
- 结肠直肠癌手术依赖于切除,预康复旨在改善患者的准备和减少并发症.
- 目前的预康复缺乏对其组成部分 (营养,运动,心理支持) 和持续时间的标准化定义.
- 多模式方法显示出希望,但临床疗效需要进一步研究.
研究的目的:
- 对接受结直肠手术的患者进行多式预康复计划的有效性进行系统审查和元分析.
主要方法:
- 在2023年8月之前搜索了主要数据库 (PubMed,Embase,CINAHL,Cochrane图书馆).
- 包括随机对照试验,前性和后性关于结直肠手术患者多模式预康复的研究.
- 用一个随机效应模型进行元分析.
主要成果:
- 分析了14篇文章,涉及2314名接受结直肠癌手术的患者.
- 多模式预康复显著减少了平均2.47天的住院时间.
- 观察到术后并发症率显著下降 (OR=0.74) 和更快的肠功能恢复 (0.43天更早).
结论:
- 在结直肠癌手术前的多式预康复有效地减少了住院时间.
- 这些干预措施降低了术后并发症率,并加速了肠道的恢复.
- 在接受结肠直肠癌手术的老年患者群体中,特别注意到益处.
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