一个多模式的预康复课程,以改善手术后的康复:一个务实的随机化1型混合有效性-实施试验
Chelsia Gillis1, Leslee Hasil2, Ciaran Keane3
1School of Human Nutrition, McGill University, Montreal, QC, Canada; Department of Anesthesia, McGill University, Montreal, QC, Canada; Department of Surgery, McGill University, Montreal, QC, Canada.
一个务实的预康复计划改善了早期的功能恢复,并减少了结直肠手术患者的蛋白质不足. 该研究虽然提前结束,但在关键复苏标志物方面显示出好处.
科学领域:
- 结肠直肠手术的结果
- 预康复战略 预康复策略
- 在手术后增强恢复 (ERAS) 途径.
背景情况:
- 预康复优化术后恢复,但实际数据有限.
- 一项实用性试验调查了结直肠外科手术的ERAS途径内的多模式预康复.
- 假设是,预康复将减少住院时间 (LOS).
研究的目的:
- 评估多模式预康复计划在结直肠手术后中期和晚期康复的有效性.
- 评估预康复计划的实施结果.
- 确定预康复是否影响住院时间和功能恢复.
主要方法:
- 一个随机的实用试验包括了接受选择性结直肠切除的成年患者.
- 干预组接受了加强的预康复 (营养,运动,呼吸) 以及标准的ERAS护理.
- 有效性结果包括LOS和6分钟步行距离 (6MWD);实施结果包括遵守步数和营养摄入量.
主要成果:
- 试验提前结束,包括110名患者;66%患有癌症.
- 在预康复和标准护理组之间的LOS没有显著差异.
- 预康复显著降低了手术前的蛋白质不足,并将6周的6MWD提高了38m.
结论:
- 一个务实的预康复计划没有影响LOS由于提前终止.
- 该计划有效地减少了手术前的蛋白质不足.
- 早期功能恢复,以6MWD衡量,通过预康复显著改善.
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