Silva Flaviana Santos de Sousa, Lima Giérisson Brenno Borges, Lima Gabriel Santos de Castro E, Torres Denise Carvalho, Macedo Michel Monteiro, Amorim Carlos Eduardo Neves
Federal University of Maranhão (UFMA), Sao Luís, Brazil.
University Center UniRedentor (UniRedentor), Itaperuna, Brazil.
J Surg Oncol. 2025 Jun;131(8):1583-1590. doi: 10.1002/jso.28142. Epub 2025 May 13.
Abdominal cancer surgery leads to loss of functional capacity. The objective was to evaluate the effects of mobilization within 24 h applied to patients with abdominal neoplasms undergoing major surgery.
A randomized controlled clinical trial was carried out in the Intensive Care Unit. The intervention group performed mobility activities guided by the ICU mobility scale (IMS) in the first 24 h after surgery and the control group performed conventional physiotherapy. Dynamometry was evaluated in the preoperative, 1st POD and postoperative period, as well as the Timed up and go test (TUG).
Patients in the intervention group had greater initial mobility (IMS Scale intervention group: 6.67 ± 0.69; IMS Scale control group: 2.23 ± 0.52; p = 0.001). There was greater level of mobility until discharge from the ICU in patients in the intervention group compared to the control group (IMS at discharge from the ICU in the intervention group: 8.53 ± 0.33; IMS at discharge from the ICU in the control group: 3 ± 0.64). Both groups showed worsening in the TUG test, but it was significant only in the control group.
Early mobilization in patients with abdominal neoplasms undergoing major surgery proved to be effective in maintaining mobility and functional markers.
腹部癌症手术会导致功能能力丧失。目的是评估对接受大手术的腹部肿瘤患者在24小时内进行活动干预的效果。
在重症监护病房进行一项随机对照临床试验。干预组在术后头24小时内按照重症监护病房活动量表（IMS）进行活动，对照组进行传统物理治疗。在术前、术后第1天和术后阶段评估握力，以及计时起立行走测试（TUG）。
干预组患者初始活动能力更强（IMS量表干预组：6.67±0.69；IMS量表对照组：2.23±0.52；p = 0.001）。与对照组相比，干预组患者在从重症监护病房出院前的活动水平更高（干预组从重症监护病房出院时的IMS：8.53±0.33；对照组从重症监护病房出院时的IMS：3±0.64）。两组在TUG测试中均显示恶化，但仅在对照组中显著。
对接受大手术的腹部肿瘤患者进行早期活动干预被证明在维持活动能力和功能指标方面是有效的。
