在手术前促进康复:预康复对上胃肠道癌症患者的影响 - - 定量比较分析
Yuping Liu1, Xiaoli Chen1, Liqun Zou1,2,3
1Department of Emergency Medicine, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, China.
预康复显著减少了手术后并发症和重症监护室再入院的患者接受上部胃肠道癌症手术. 这种方法在改善手术结果和患者康复方面表现有前途.
科学领域:
- 在瘤学瘤学.
- 外科胃肠道外科手术
- 关键护理医学 关键护理医学
背景情况:
- 关于预康复在上部胃肠道 (GI) 癌症手术中的有效性存在不同的观点.
- 预康复旨在在进行重大手术之前改善患者的治疗结果.
- 了解预康复的影响对于优化上部胃肠道瘤学的护理至关重要.
研究的目的:
- 量化评估上部肠道癌症患者的预康复和术后结果之间的关联.
- 评估预康复在改善并发症和再入院方面的潜在好处.
- 为未来的外科手术实践策略提供全面分析.
主要方法:
- 在Medline,Embase,Cochrane图书馆和Web of Science的系统文献搜索,截至2024年2月.
- 包括报告预康复与术后并发症,再入院或其他结果相关的研究.
- 使用固定或随机效应模型和森林地块进行定量比较分析.
主要成果:
- 预康复显著降低了整体术后并发症的发生率 (OR:0.59,95%CI:0.39-0.88).
- 预康复可以预防肺部并发症 (OR:0.54,95%CI:0.36-0.80).
- 预康复显著减少了重症监护室 (ICU) 的再入院 (OR:0.23,95%CI:0.06-0.89).
结论:
- 在上部肠道癌症手术中,预康复与整体术后并发症,肺部并发症和ICU再入院的减少有显著的相关性.
- 研究结果支持预康复作为接受上部肠道癌症手术治疗的患者有益的干预措施.
- 需要进一步的经验研究来验证这些结果并指导临床实践.
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