三联术前康复对胃肠道肿瘤患者围手术期康复的影响。
Effect of trimodal pre-rehabilitation on the rehabilitation of patients with gastrointestinal tumors in the perioperative period.
作者信息
Li Qianju, Wang Yukun, Jin Tianhao, Lu Liesheng, Tong Yifeng
机构信息
Department of Gastrointestinal Surgery, Ninghai First Hospital Ningbo 315600, Zhejiang Province, China.
Department of Metabolic Surgery, Shanghai Tenth People's Hospital Shanghai 200072, China.
出版信息
Am J Transl Res. 2022 Feb 15;14(2):967-978. eCollection 2022.
OBJECTIVE
To explore the effects of trimodal pre-rehabilitation on the rehabilitation of patients with gastrointestinal tumors in the perioperative period.
METHODS
Clinical data of 878 patients with gastrointestinal tumors undergoing surgical treatment in our hospital were analyzed in this retrospective study. They were divided into a control group and an observation group. The patients in the control group received only routine preoperative education and guidance before operation, while those in the observation group received preoperative trimodal pre-rehabilitation. The nutritional status, sleep quality, psychological status, and physical function of two groups were compared 1 day before operation and at discharge. The postoperative complications, length of hospital stays, and hospitalization expenses were compared. The patients were followed up for three months after discharge from the hospital, and the quality of life between groups was compared.
RESULTS
The nutritional status of two groups 1 day before operation and at discharge was improved compared with that at admission (all P<0.001). The nutritional status in the observation group was better than that in the control group 1 day before operation. The scores of sleep quality, psychological status, and physical function of the observation group were higher than those in the control group 1 day before surgery and at discharge (all P<0.001). The observation group had shorter hospital stays and lower hospitalization expenses than the control group (all P<0.001). The 3-month follow-up after discharge showed that the observation group had higher quality of life than the control group (all P<0.05).
CONCLUSION
Trimodal pre-rehabilitation can improve the preoperative nutritional status, sleep quality, psychological state, and physical function of patients with gastrointestinal tumors during the perioperative period. Besides, it can shorten the hospital stays, reduce the total hospitalization expenses, and improve the quality of life of patients after discharge. It is worthy of clinical promotion.
目的
探讨三联式术前康复对胃肠道肿瘤患者围手术期康复的影响。
方法
本回顾性研究分析了我院878例接受手术治疗的胃肠道肿瘤患者的临床资料。将他们分为对照组和观察组。对照组患者仅在术前接受常规术前教育和指导，而观察组患者接受术前三联式术前康复。比较两组患者术前1天和出院时的营养状况、睡眠质量、心理状态和身体功能。比较术后并发症、住院时间和住院费用。患者出院后随访3个月，比较两组间的生活质量。
结果
两组术前1天和出院时的营养状况较入院时均有所改善（均P<0.001）。术前1天观察组的营养状况优于对照组。观察组术前1天和出院时的睡眠质量、心理状态和身体功能评分均高于对照组（均P<0.001）。观察组的住院时间比对照组短，住院费用比对照组低（均P<0.001）。出院后3个月随访显示，观察组的生活质量高于对照组（均P<0.05）。
结论
三联式术前康复可改善胃肠道肿瘤患者围手术期的术前营养状况、睡眠质量、心理状态和身体功能。此外，它还可以缩短住院时间，降低总住院费用，并提高患者出院后的生活质量。值得临床推广。
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