胰十二指肠切除术患者运动康复的范围综述

Exercise rehabilitation in patients undergoing pancreaticoduodenectomy:a scoping review

目的:对运动康复在胰十二指肠切除术患者中应用的相关研究进行范围综述,以期为临床开展相关干预研究提供参考。方法:根据范围综述的研究方法,计算机系统检索国内外数据库中关于胰十二指肠切除术患者运动康复的文献,检索时限为建库至2023年8月18日。对纳入文献进行筛选、汇总和分析。结果:共纳入22篇文献,运动康复类型包括呼吸运动、有氧运动、抗阻运动和术后渐进式下床活动;运动时间、频率及强度依据运动康复类型、患者身体功能状态而定;结局指标包括安全性、可行性、依从性及有效性4个方面。结论:胰十二指肠切除术患者运动康复具有多样化和个体化的特点,对胰十二指肠切除术患者具有积极的应用效果。未来研究应注重构建最佳运动康复策略、制订规范统一的评价指标体系,并开展更多大样本、高质量的随机对照试验以验证运动康复的应用效果。

Objective:To conduct a scoping review of studies related to the application of exercise rehabilitation in patients undergoing pancreaticoduodenectomy.Methods:A literature search was performed in the domestic and foreign databases to identify relevant studies on exercise rehabilitation in patients undergoing pancreaticoduodenectomy.The included studies were summarized and analyzed.Results:Totally 22 studies were included.The results showed that exercise methods can be divided into 4 categories,namely respiratory exercise,aerobic exercise,resistance exercise,and postoperative progressive ambulation.There was no unified standard for exercise time,frequency and intensity,which depends on the type of exercise and the physical condition of the patients.The outcome indicators involve 4 aspects of safety usability,feasibility,compliance,and effectiveness.Conclusion:Exercise rehabilitation is diversified and individualized,with a positive effect on patients undergoing pancreaticoduodenectomy.Future research should focus on exploring the best exercise intervention strategies,improving its evaluation index system,and conducting more large-scale and high-quality randomized controlled trials to verify the intervention effects.