Br J Surg：术前康复训练可提高患者心肺运动试验结果

2016-02-17 Mechront 译 MedSci原创

心肺运动试验（CPET)评估后运动量不足的患者在术后有更高的死亡率和发病率。术前进行运动干预或康复训练已被认为是一个提高CPET结果的办法。研究者对直肠癌肝转移的患者进行了一项研究，评估肝脏切除术前4周监测下的高强度间歇锻炼干预能否改善患者术前情况。以无氧阈值下的氧摄取情况作为主要结局指标，其他CPET和使用SF-36®评估的术前生活治疗 (QoL)作为次要结局指标。研究共纳入了38名符合条件的患

心肺运动试验（CPET)评估运动量不足的患者在术后有更高的死亡率和发病率。术前进行运动干预或康复训练已被认为是一个提高CPET结果的办法。

研究者对直肠癌肝转移的患者进行了一项研究，评估肝脏切除术前4周监测下的高强度间歇锻炼干预能否改善患者术前情况。以无氧阈值下的氧摄取情况作为主要结局指标，其他CPET和使用SF-36®评估的术前生活治疗 (QoL)作为次要结局指标。

研究共纳入了38名符合条件的患者，其中20名患者进行了术前康复训练，18名患者进行日常的标准护理，最终有35名患者完成了术前评估，并将数据用于结果分析。其中男性25名，女性10名，平均年龄62岁（54-69岁），基线资料两组间没有差异。

研究数据显示，术前康复训练可改善患者术前无氧阈值下的氧摄取情况 (+1·5 (95% CI：0·2- 2·9) ml/kg/min)和最大运动量时的摄氧情况(+2·0 (0·0-4·0) ml/kg/min)。术前无氧阈值下的氧脉搏（每次心跳的摄氧量）也得到改善 (+0·9 (0·0 -1·8) ml/beat)，最高工作效率提高(+13 (4 -22) W)。通过SF-36®评估的术前QoL中的总分数增加11（95% CI：1-21） (P = 0·028) ，心理健康得分增加11（1-22） (P = 0·037)。

研究结果表明，术前进行长达4周的康复训练可显著改善准备进行肝切除患者的术前CPET得分和QoL；进而可能对围手术期结果产生一定影响。

原始出处：

Dunne DF, Jack S,et al.Randomized clinical trial of prehabilitation before planned liver resection.Br J Surg. 2016 Feb 11. doi: 10.1002/bjs.10096.

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2016-05-24 aids222

#心肺#

37 0
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2016-05-30 ms7517674339485982

#康复训练#

43 0
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2016-06-09 respect

#运动试验#

35 0
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2016-03-07 陆成振

#心肺运动试验#

34 0
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2016-04-23 忠诚向上

好好看看学习

92 0
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2016-04-23 忠诚向上

好好看看学习

111 0
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2016-04-23 忠诚向上

好好看看学习

175 0
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2016-04-23 忠诚向上

好好看看学习

134 0
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2016-04-23 忠诚向上

好好看看学习

147 0
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2016-04-23 忠诚向上

好好看看学习

87 0

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