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在结肠直肠手术患者中不同预康复策略的比较有效性:一个网络元分析

Jing-Yi Gao¹, Jie-Rong Ge², Jing-Yan Cai²

¹Nantong First People's Hospital, Operating room, Nantong, Jiangsu Province.

Archives of rehabilitation research and clinical translation

|January 1, 2026

概括

多模式预康复是结直肠手术患者的最佳术前策略,改善功能能力并减少并发症. 运动干预也显示出显著的功能益处,建议采用量身定制的方法.

科学领域:

结肠直肠手术的结果
预康复战略预康复策略
基于证据的医学是基于证据的医学.

背景情况:

结肠直肠手术患者经常经历功能能力下降和术后并发症率增加.
优化手术前患者的状况对于改善手术结果至关重要.
存在各种预康复策略,但它们的比较有效性尚未得到充分证实.

研究的目的:

进行网络元分析,评估结直肠外科手术中的预康复策略.
为了比较多式,仅限运动和仅限营养的预康复对功能能力,并发症和住院的影响.
确定最佳的预康复策略,以增强结直肠癌患者的术后恢复.

主要方法:

在主要数据库 (PubMed,Embase,Cochrane,Web of Science,Scopus) 进行系统的文献搜索,直到2025年4月.
包括随机对照试验,比较预康复干预措施与标准护理或彼此.
使用网络元分析方法提取和合成数据,同时比较多个干预措施.

主要成果:

纳入了15项涉及1290名参与者的研究.
与标准护理相比,运动和多式预康复显著改善了6分钟步行测试的表现.
多模式预康复在减少术后并发症方面优越 (OR 0.65;95% CI,0.40-0.96).

结论:

多模式预康复是结直肠手术患者的最佳术前策略,增强功能能力并减少并发症.
仅进行运动的干预措施也提供了显著的功能益处.
根据个体患者的需要和可用的资源,建议采用个性化预康复方案.

关键词:

结肠直肠外科手术是什么意思功能能力功能能力住院时间的长度.网络元分析网络元分析术后并发症术后并发症康复预先治疗康复前治疗再接纳是指重新接纳的人.康复康复康复康复

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