术前呼吸训练对胸部外科手术术后结果的影响:系统性审查和元分析
Yufang Zhu1, Yinguo Du2, Ming Zhang1
1Department of Cardiothoracic Surgery, Shengzhou People's Hospital (Shengzhou Branch of The First Affiliated Hospital of Zhejiang University School of Medicine, The Shengzhou Hospital of Shaoxing University), 312400 Shengzhou, Zhejiang, China.
Annali italiani di chirurgia
|September 16, 2025
概括
手术前呼吸训练 (PRT) 显著减少手术后肺部并发症 (PPC) 并改善胸部手术患者的运动能力. 它对肺功能和住院时间的影响需要进一步研究.
科学领域:
- 肺部医学 肺部医学
- 外科手术的结果
- 呼吸系统疗法 呼吸系统疗法
背景情况:
- 手术后的肺部并发症 (PPC) 在胸部手术后很常见,影响患者的康复.
- 术前呼吸训练 (PRT) 是一个潜在的干预措施,以减轻这些风险.
研究的目的:
- 评估PRT在胸部外科手术患者的术后结果上的有效性.
- 关键结果包括肺功能,运动能力,PPC发生率和住院时间.
主要方法:
- 2000年1月至2025年6月期间发表的随机对照试验 (RCT) 的元分析.
- 研究将PRT与通过主要数据库识别的常规护理进行了比较.
- 用RevMan 5.4.1对几率比率 (OR) 和平均差异 (MD) 的数据进行了聚合.
主要成果:
- 包含了9个RCT,涉及元分析.
- PRT显著降低了PPCs (OR = 0.31),并改善了六分钟步行距离 (6MWD) 的变化 (MD = 20.50m).
- 没有发现对绝对6MWD,FEV1,峰值呼气流量或停留时间的显著影响.
结论:
- 在胸部外科手术中,PRT有效降低PPC并增强术后功能恢复.
- 关于PRT对螺旋计测量和住院时间的影响需要进一步研究.
- 需要进行更大规模的试验,以评估PRT的整合到日常护理中,特别是在高危人群中.
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