视频辅助胸腔镜肺切除术后的体力活动,以手术为基础的协议为基础,在手术后恢复后进行增强:来自前性观察性研究的第一个数据
Christian Galata1, Melanie Frey1, Bernhard Gohrbandt1
1Department of Thoracic Surgery, University Medical Center, Johannes-Gutenberg University Mainz, Mainz, Germany.
Journal of thoracic disease
|May 22, 2025
概括
肺部手术后的术后体力活动 (PPA) 在胸管切除后显著增加,但总体而言仍然很低. 外科手术后增强恢复协议可能需要进一步优化,以改善患者动员.
科学领域:
- 胸部外科手术 胸部外科手术
- 手术后增强恢复 (ERAS) 协议
- 术后康复 术后康复
背景情况:
- 早期术后体力活动 (PPA) 对于恢复和预防肺部手术后的并发症至关重要.
- 这项研究研究了在ERAS协议中接受视频辅助胸腔镜 (VATS) 肺切除的患者的PPA.
研究的目的:
- 在接受VATS肺切除的患者中评估PPA的水平.
- 评估胸管切除对PPA的影响.
- 确定ERAS协议在促进PPA方面的有效性.
主要方法:
- 前性,单臂,单中心观察性研究 (PATHOS试验).
- 62名患者接受了VATS肺切除术.
- 手腕运动追踪器测量了PPA在最多5个术后天 (POD).
主要成果:
- 中位阶段从POD 1的247个增加到POD 5的4,455个.
- 平均PPA持续时间从POD1上的2分钟增加到POD5上的37分钟.
- 在切除胸管后,PPA显著增加,但17.7%的患者在POD 1上没有任何步骤.
结论:
- 胸管切除显著影响胸腔镜肺切除后的术后动员.
- 尽管实施了ERAS协议,但整体PPA水平仍然很低.
- 需要进一步的研究来优化PPA以改善ERAS协议中的患者结果.
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