运动为基础的术前康复对冠状动脉旁路移植术患者的影响：随机对照试验的系统评价。

The effects of exercise-based prehabilitation in patients undergoing coronary artery bypass grafting surgery: A systematic review of randomized controlled trials.

机构信息

Hacettepe University, Faculty Physical Therapy and Rehabilitation 06100, Samanpazari, Ankara, Turkey.

出版信息

Heart Lung. 2025 Jan-Feb;69:41-50. doi: 10.1016/j.hrtlng.2024.09.007. Epub 2024 Sep 21.

DOI:10.1016/j.hrtlng.2024.09.007

PMID:39307000

Abstract

BACKGROUND

Postoperative exercise-based rehabilitation improves the physical performance and health-related outcomes of patients undergoing coronary artery bypass grafting (CABG). However, the effectiveness of exercise-based prehabilitation in patients undergoing CABG remains unknown.

OBJECTIVE

The purpose of this systematic review was to investigate the effects of exercise-based prehabilitation on functional exercise capacity, postoperative complications, anxiety, depression, self-efficacy, quality of life, length of hospital and intensive care unit stay, frailty, and endothelial function in patients undergoing CABG surgery.

METHODS

This systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The study protocol is recorded in the PROSPERO database (registration number CRD42023488530). PubMed, the Physiotherapy Evidence Database (PEDro), Google Scholar, Web of Science, Scopus, and the Cochrane Library were searched from inception to December 2023. The titles and abstracts of the studies were screened using Rayyan Ai software. After full-text screening, randomized controlled trials that met the inclusion criteria were included.

RESULTS

Five randomized controlled trials involving 616 participants were included. The systematic review suggests strong evidence that exercise-based prehabilitation improved functional capacity and moderate evidence that it reduced postoperative complications and length of hospital stay. Although there was conflicting evidence regarding the effects of exercise-based prehabilitation on quality of life, there was limited evidence of its effects on physical activity, anxiety, depression, self-efficacy, frailty, and endothelial function.

CONCLUSIONS

Exercise-based prehabilitation can be recommended for improvements in functional capacity, postoperative complications, and length of hospital stay in patients undergoing CABG.

摘要

背景

术后基于运动的康复可以改善接受冠状动脉旁路移植术（CABG）的患者的身体表现和与健康相关的结果。然而，CABG 患者进行基于运动的预康复的效果尚不清楚。

目的

本系统评价的目的是调查基于运动的预康复对接受冠状动脉旁路移植术患者的功能运动能力、术后并发症、焦虑、抑郁、自我效能、生活质量、住院和重症监护病房停留时间、虚弱和内皮功能的影响。

方法

本系统评价遵循系统评价和荟萃分析的首选报告项目（PRISMA）指南。研究方案记录在 PROSPERO 数据库（注册号 CRD42023488530）中。从建库到 2023 年 12 月，检索了 PubMed、物理治疗证据数据库（PEDro）、Google Scholar、Web of Science、Scopus 和 Cochrane 图书馆。使用 Rayyan Ai 软件筛选研究的标题和摘要。经过全文筛选，纳入符合纳入标准的随机对照试验。