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结直肠外科手术患者预康复的有效性:系统性审查和网络元分析

Hui-Han Zhang¹, Pei-Jing Yan², Jie Geng³

¹Department of General Surgery, The Second Hospital of Lanzhou University, Lanzhou 730030, China.

Updates in surgery

|January 6, 2026

概括

包括运动和营养在内的预康复干预措施对结直肠手术患者住院时间没有显著影响. 然而,全面的预康复可能会改善6分钟步行测试的表现.

科学领域:

结肠直肠手术结肠直肠手术
康复前医学康复前医学
基于证据的医学基于证据的医学.

背景情况:

结肠直肠手术的恢复通常会因肌肉消耗,营养不良和心理困扰而复杂化.
预康复旨在通过在手术前的有针对性的干预措施来缓解这些挑战.

研究的目的:

系统地评估预康复干预措施对接受结直肠手术的患者康复结果的影响.
评估运动,营养和心理支持对住院时间,6分钟步行测试和并发症率的影响.

主要方法:

在PubMed,Embase和Cochrane图书馆进行了全面的文献搜索,截至2024年4月.
随机对照试验 (RCT) 用Cochrane风险偏差工具版本2评估了偏差风险.
贝叶斯随机效应元分析用于计算平均差异和风险比率,证据确定性使用GRADE进行分级.

主要成果:

涉及运动,营养或联合运动和营养的预康复并没有显著改变住院时间 (LOS).
中等确定性证据表明,运动,营养和心理社会预康复的结合可能会增加6分钟步行测试 (6MWT) 的结果.
与标准护理相比,低至非常低的确定性证据表明,在各种预康复策略中,并发症率没有显著差异.

结论:

虽然预康复,特别是包括心理社会支持在内的综合方法,显示出改善功能能力 (6MWT) 的潜力,但由于有限的数据,其对结直肠手术患者的LOS和并发症率的影响仍然不确定.
需要进一步进行高质量的研究,以证实特定预康复组件的好处及其对康复结果的影响.

关键词:

6分钟的步行测试试验结肠直肠外科手术是什么意思进行元分析分析.康复预先治疗康复前治疗系统性审查系统性审查

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