IF 1.7 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL
American journal of translational research Pub Date : 2024-11-15 eCollection Date: 2024-01-01 DOI:10.62347/NJRM6592
Tianyun Duan, Yinan Guo, Qin Lu, Hongying Pan
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引用次数: 0

摘要

目的:系统分析肺康复对接受胸腔镜肺部分切除术的肺癌患者术后恢复的影响:系统分析肺康复(PR)对接受胸腔镜肺部分切除术的肺癌患者术后恢复的影响:本研究已在 PROSPERO 注册(CRD42024574965)。我们在 PubMed、The Cochrane Library、Embase、Web of Science 和 CINAHL 中全面检索了截至 2024 年 5 月有关 PR 对接受胸腔镜肺部分切除术的肺癌患者术后康复影响的文献。符合纳入和排除标准的研究被选入荟萃分析。提取有效数据,并使用RevMan5.3和Stata 12.0软件进行综合分析:结果:共纳入了 10 项相关研究,涉及 677 名受试者。其中,实验组有 341 名患者,对照组有 336 名患者。荟萃分析表明,PR 能显著改善术后第一秒用力呼气容积(FEV1)[SMD=1.73,95% CI:(0.52-2.94)]、呼气峰流速(PEF)[SMD=0.45,95% CI:(0.12-0.78)]、用力肺活量(FVC)[SMD=4.31,95% CI:(1.98-6.63)]和 6 分钟步行距离(6MWD)[SMD=1.64,95% CI:(0.64-2.65)]。PR 还降低了接受胸腔镜肺部分切除术的肺癌患者术后并发症的发生率[OR=0.28,95% CI:(0.18-0.43)],缩短了术后住院时间[SMD=-0.56,95% CI:(-0.88 --0.24)]。两组患者在焦虑[SMD=-0.34,95% CI:(-1.27-0.60)]或抑郁[SMD=-0.15,95% CI:(-0.48-0.18)]方面无明显差异:结论:对于接受胸腔镜肺部分切除术的肺癌患者,PR 可改善肺功能和运动耐量,减少术后并发症,缩短术后住院时间。然而,它对减少负面情绪的作用仍不明确。由于纳入研究的数量和质量有限,需要进一步的高质量研究来验证这些发现。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effect of pulmonary rehabilitation training on postoperative recovery in lung cancer patients undergoing thoracoscopic partial pulmonary resection: a meta-analysis.

Objective: To systematically analyze the impact of pulmonary rehabilitation (PR) on postoperative recovery of lung cancer patients undergoing thoracoscopic partial pulmonary resection.

Methods: This study has been registered with PROSPERO (CRD42024574965). A comprehensive search was conducted in PubMed, The Cochrane Library, Embase, Web of Science and CINAHL for literature on the effects of PR on postoperative rehabilitation in lung cancer patients undergoing thoracoscopic partial pulmonary resection, up to May 2024. Studies meeting the inclusion and exclusion criteria were selected for the meta-analysis. Valid data were extracted, and the integrated analysis was performed using RevMan5.3 and Stata 12.0 software.

Results: A total of 10 relevant studies, involving 677 subjects, were included. Of these, 341 patients were in the experimental group, and 336 were in the control group. The meta-analysis showed that PR significantly improved the forced expiratory volume in the first second after surgery (FEV1) [SMD=1.73, 95% CI: (0.52-2.94)], peak expiratory flow (PEF) [SMD=0.45, 95% CI: (0.12-0.78)], forced vital capacity (FVC) [SMD=4.31, 95% CI: (1.98-6.63)], and 6 min walking distance (6MWD) [SMD=1.64, 95% CI: (0.64-2.65)]. PR also reduced the incidence of postoperative complications [OR=0.28, 95% CI: (0.18-0.43)] and shortened the duration of postoperative hospitalization [SMD=-0.56, 95% CI: (-0.88 - -0.24)] in lung cancer patients undergoing thoracoscopic partial pulmonary resection. There was no significant difference in anxiety [SMD=-0.34, 95% CI: (-1.27-0.60)] or depression [SMD=-0.15, 95% CI: (-0.48-0.18)] between the two groups.

Conclusion: PR improves lung function and exercise tolerance, reduces postoperative complications, and shortens postoperative hospital stays in lung cancer patients undergoing thoracoscopic partial pulmonary resection. However, its effect on reducing negative mood remains unclear. Due to the limitations in the number and quality of included studies, further high-quality studies are needed to validate these findings.

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American journal of translational research
American journal of translational research ONCOLOGY-MEDICINE, RESEARCH & EXPERIMENTAL
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