在外科手术中接受手术的脆弱老年患者的外科多元体育康复:系统性审查和元分析
Xiaoqing Xie1, Lanping Lei2, Yuan Zhan3
1Hunan Normal University, Changsha, China; The Second Xiangya Hospital of Central South University, Changsha, China.
Archives of gerontology and geriatrics
|January 10, 2026
概括
在外科手术期间的多元组件运动计划显著减少了手术并发症,并改善了脆弱的老年患者的身体功能. 虽然对核心恢复有效,但对更广泛的老年问题的影响需要进一步调查.
科学领域:
- 老年医学 老年医学
- 手术康复手术康复
- 基于证据的实践.
背景情况:
- 老年手术患者的虚弱增加了不良的术后结果.
- 术后多组分运动康复是一种潜在的干预措施.
- 这些计划的整体有效性仍然不确定.
研究的目的:
- 系统地审查外科手术前多元组件运动计划对接受手术的脆弱老年患者的影响.
- 评估对术后并发症和功能能力的影响.
主要方法:
- 随机对照试验 (RCT) 的系统审查和元分析.
- 在2025年8月之前搜索了多个数据库 (MEDLINE,Embase,CINAHL,Cochrane CENTRAL,Web of Science,SPORTDiscus)
- 使用JBI检查清单评估偏见风险,使用GRADE系统评估证据确定性.
主要成果:
- 纳入了10个与1146名患者的RCT.
- 运动显著减少了术后并发症 (RR 0.72;高确定性).
- 改善功能能力 (六分钟步行测试:MD 26.7m;高确定性) 和手握强度.
结论:
- 在外科手术期间,多组分运动康复疗法有效地减少并发症,并增强虚弱的老年手术患者的身体功能.
- 对生活质量,残疾和再接收风险的影响不显著.
- 需要进一步的研究来确定对更广泛的老年综合征的益处.
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