手术前的启发性肌肉训练在食道切除术后保留了腹膜外游:一项随机对照试验
Hiroki Mizusawa1,2, Yuji Higashimoto3,4, Osamu Shiraishi5
1Faculty of Medicine, Department of Rehabilitation Medicine, Kindai University, 377-2, Ohno-higashi, Osakasayama, 589-5811, Japan. hiroki-mizusawa@med.kindai.ac.jp.
手术前的启发性肌肉训练 (IMT) 在食道癌患者中改善了腹膜外流. 这种增强的隔膜功能在手术后持续了三个多月.
科学领域:
- 肺病学和胸部外科 肺病学和胸部外科
- 在瘤学瘤学.
- 康复医学 康复医学 康复医学
背景情况:
- 已知手术前启发性肌肉训练 (IMT) 在食道癌患者中可增强腹膜外流 (DE).
- 然而,IMT对DE的长期术后影响仍未评估.
研究的目的:
- 为了研究术前IMT对术后隔膜功能的影响.
- 评估经食道切除术后的DE变化,呼吸肌肉强度,肺功能和运动耐受性.
主要方法:
- 一项并行随机对照试验,涉及预定食道切除术的患者.
- 患者被随机分为激励螺旋计 (IS) 或IMT组,在新辅助化疗期间进行干预.
- 主要结局是DE;次要结局包括最大吸气压 (MIP),肺功能和运动耐受性,在手术前和后测量.
主要成果:
- 与IS组相比,IMT组显示DE从基线到操作前的增加显著更大.
- 在食管切除术后,DE和MIP在两组都下降了,但DE的下降在IMT组明显较小.
- 组间的DE差异在手术后至少持续了3个月,而MIP没有显著差异.
结论:
- 手术前的IMT有效地增强了经食管切除术的患者的隔膜功能.
- 在手术后的三个多月内,IMT对隔膜功能的好处仍然存在.
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