家庭手术前体育活动对接受瘤手术的患者手术后并发症的影响:系统性审查和元分析
Takuya Yanagisawa1, Noriatsu Tatematsu2, Kazuhiro Hayashi3
1Faculty of Rehabilitation and Care, Seijoh University, 2-172 Fukinodai, Tokai, 476-8588, Aichi, Japan.
低的手术前体力活动 (PA) 会增加癌症患者,特别是胃肠道癌症患者的术后并发症 (PC) 的风险. 需要进一步的研究来证实这些发现在瘤手术患者.
科学领域:
- 在瘤学瘤学.
- 外科手术的结果
- 物理疗法物理治疗
背景情况:
- 手术前的体力活动 (PA) 越来越被认为是影响手术结果的关键因素.
- 手术后并发症 (PCs) 在瘤外科手术中构成重大负担,影响患者的康复和医疗费用.
研究的目的:
- 在进行瘤手术的患者中,系统地审查和元分析有关家庭手术前体力活动 (PA) 与术后并发症 (PC) 发生率之间的相关证据.
主要方法:
- 在五个电子数据库中进行了全面的文献搜索.
- 包括的研究是观察性的,并将手术前的PA水平与PC的发生进行了比较.
- 进行了一项元分析,以评估低手术前PA对PC的影响,并对PC严重程度和癌症部位进行亚组分析.
主要成果:
- 分析中包括了8项研究.
- 低的手术前PA与所有PC的风险增加有关 (OR = 2.42,95%CI = 1.44至4.07).
- 在患有胃肠道癌症的患者中,手术前低血压与所有PC (OR = 3.44,95% CI = 1.63至7.26) 和严重PC (OR = 2.93,95% CI = 1.30至6.58) 相关.
结论:
- 在接受瘤手术的患者,特别是胃肠道癌症患者中,低的手术前PA与患PC的可能性更高有关.
- 目前的证据表明,优化手术前的PA有潜在的益处,以减少PC.
- 确切的结论受限于少数研究专门关注癌症患者的这种关系.
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