肺癌综合多模式预康复:对随机对照试验的系统审查
Krystian Mania1, Anna Pieczynska2, Katarzyna Hojan2,3,4
1Greater Poland Provincial Hospital in Poznan, Department of Otorhinolaryngology, Poznan, Poland.
Therapeutics and clinical risk management
|December 22, 2025
概括
多模式预康复改善了运动能力,并减少了接受手术的肺癌患者的并发症. 然而,整合身体,心理和营养支持的综合计划未得到充分利用,需要进一步研究以获得明确的指导方针.
科学领域:
- 在瘤学瘤学.
- 胸部外科手术 胸部外科手术
- 康复医学 康复医学 康复医学
背景情况:
- 手术切除是早期肺癌的主要治疗方法.
- 多模式预康复可以提高患者在手术前的性.
- 目前关于肺癌预康复的指导方针缺乏,导致执行不一致.
研究的目的:
- 系统地审查接受胸部手术的肺癌患者的预康复干预措施的全面性和有效性.
- 为了确定这个患者群体目前的预康复实践中的差距.
主要方法:
- 在PubMed,谷歌学者,PEDro和Cochrane图书馆 (2024年2月27日) 进行系统的文献搜索.
- 包括在2019年至2024年间发表的研究,遵守PRISMA指南.
- 在PROSPERO注册 (CRD42024499622). 在PROSPERO注册.
主要成果:
- 从1233项已识别的研究中,包括了10项随机对照试验.
- 只有三项研究使用了全面的多式联络方法 (身体,心理,营养).
- 预康复改善了运动能力,减少了术后并发症;对停留时间和认知功能的影响尚不清楚.
结论:
- 在为肺癌患者实施综合多模式预康复方面存在重大差距.
- 身体炼是常见的,但心理和营养成分往往被忽视.
- 需要进一步的研究来制定指导方针并确认多式联络预康复的全部好处.
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