鉴定癌症患者接受切除术或脏切除术的预康复的需要
Bente Thoft Jensen1,2, Peter Blak Hjort1,3, Kathrine Melchiorsen1
1Department of Urology, Aarhus University Hospital, 8200 Aarhus, Denmark.
Cancers
|September 13, 2025
概括
对于癌患者,可能需要进行预康复. 许多患者在手术前后表现出营养风险,贫血和功能衰退,表明需要早期干预.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 在瘤学瘤学.
- 老年病的医生 老年病的医生
背景情况:
- 对于细胞癌 (RCC) 和上道泌尿道癌 (UTUC) 手术患者的预康复益处尚不清楚.
- 评估身体功能和基线特征对于确定预康复需求至关重要.
研究的目的:
- 在接受RCC切除术或UTUC切除术的患者中评估身体功能和基线特征.
- 在这个患者群体中确定预康复的潜在需求.
主要方法:
- 62名患者 (31名RCC,31名UTUC) 的前性观察研究.
- 基线评估包括营养查,虚弱,血红蛋白/铁水平,吸烟状态,六分钟步行测试 (6MWT) 和30秒坐立测试 (30STS).
- 在出院和两周后的随访时重复了功能测试.
主要成果:
- 在基线时,营养风险 (45%RCC,68%UTUC),虚弱 (20%) 和贫血 (53%) 的高患病率.
- 在手术前观察到显著的功能障碍 (16-36%为6MWT,58%RCC/42%UTUC为30STS).
- 手术后的功能衰退在出院时达到顶峰 (59%的RCC/82%的UTUC低于LLV),随访时只有部分恢复.
结论:
- 在接受癌手术的患者中,术前营养缺陷,贫血和功能障碍是常见的.
- 显著的术后功能衰退支持了早期,个性化的预康复的需要.
- 前期康复可能会改善接受切除术或切除术的患者的康复结果.
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