摘要
目的探讨预康复在高龄食管癌手术患者中的应用效果。方法 2018年1月—2019年12月,对16例高龄食管癌限期手术患者实施术前预康复(营养支持、心肺功能锻炼、心理支持)干预,收集并比较干预前后患者的6分钟步行试验(6minutes walking test, 6MWT)、呼气峰流速(PEF)、体质指数(BM2)、营养风险评估(NRS2002评分)、人血白蛋白(ALB)、血清总白蛋白(TP)、血红蛋白(Hb)、医院焦虑抑郁量表(HADS)的资料,并评估术后并发症的发生情况。结果预康复干预前后,患者NRS2002评分以及CRP值无显著变化(P>0.05),但干预后6MWT、PEF、BMI、ALB、TP、Hb、HADS较干预前均显著增加,且焦虑抑郁评分显著降低,差异均有统计学意义(P<0.05),总并发症发生率为37.5%,未出现死亡患者。结论预康复能显著改善高龄食管癌手术患者的术前身心状况,增加手术耐受性,降低术后并发症发生率,促进患者康复。
Objective To explore the effect of pre-rehabilitation in elderly patients with esophageal cancer surgery.Methods From January 2018 to December 2019,pre-rehabilitation(nutrition support,cardiopulmonary exercise,psychological support)intervention was performed on 16 elderly patients with limited-term surgery of esophageal cancer,and the 6minutes walking test before and after the intervention was collected 6MWT,PEF,BMI,NRS2002 score,serum albumin(ALB),serum total albumin(TP),hemoglobin(Hb),hospital anxiety and depression scale(HADS)data,and the occurrence of postoperative complications.Results In this study,there was no significant change in NRS2002 score and CRP value before and after pre-rehabilitation intervention(P>0.05).After the intervention,6MWT,PEF,BMI,ALB,TP,Hb,HADS all increased significantly.Anxiety and depression scores reduced significantly(P<0.05),the total complication rate was 37.5%,and no patients died.Conclusion Pre-rehabilitation can significantly improve the preoperative physical and mental status of elderly patients with esophageal cancer surgery,increase the tolerance of surgery,reduce the incidence of postoperative complications,and promote patient recovery.
作者
洪宇彤
丘丽红
杨猛
何学婷
刘莉
HONG Yutong;QIU Lihong;YANG Meng;HE Xueting;LIU Li(Department of Thoracic Surgery,Cancer Center,Sun Yat-sen University,Guangzhou,Guangdong Province,510000;School of Nursing,Sun Yat-sen University,Guangzhou,Guangdong Province,510000)
基金
广东省医学科学技术研究基金项目(NO:A2020092)。
关键词
预康复
高龄
食管癌
Pre-rehabilitation
advanced age
esophageal cancer
