加速康复外科理念在乳腺癌术后康复应用效果的Meta分析  

Meta-analysis of the application efficacy of enhanced recovery after surgery concept in postoperative rehabilitation of breast cancer

作　　者：闫惠 王向丽 暴银素[2] 张留巧[3] YAN Hui;WANG Xiangli;BAO Yinsu;ZHANG Liuqiao(College of Nursing,Henan University of Chinese Medicine,Henan,Zhengzhou 450000,China;Quality Evaluation Management Office,the First Affiliated Hospital of Henan University of Chinese Medicine,Henan,Zhengzhou 450000,China;Spine Department,the Second Affiliated Hospital of Henan University of Chinese Medicine,Henan,Zhengzhou 450000,China)

机构地区：[1]河南中医药大学护理学院,河南郑州450000 [2]河南中医药大学第一附属医院质量评价管理办公室,河南郑州450000 [3]河南中医药大学第二附属医院脊柱科,河南郑州450000

出　　处：《中国医药科学》2020年第23期58-61,共4页China Medicine And Pharmacy

摘　　要：目的评价加速康复外科(ERAS)在乳腺癌术后恢复中的干预效果。方法检索国内外数据库,纳入关于加速康复外科促进乳腺癌术后恢复的随机对照试验,采用Rev Man5.3软件进行数据分析。结果最终纳入13篇,共1166例研究对象,加速康复外科护理可提高患肢恢复有效率[OR=7.79,95%CI(3.74,16.23),P <0.000 01];降低并发症发生率[OR=0.25,95%CI(0.17,0.35),P <0.000 01]。结论加速康复外科可以有效促进乳腺癌患者术后的患肢功能恢复,减少术后并发症的发生。Objective To evaluate the intervention efficacy of enhanced recovery after surgery(ERAS) in postoperative rehabilitation of breast cancer. Methods Domestic and foreign databases were searched, including the randomized controlled experiments on ERAS, to promote postoperative rehabilitation of breast cancer, and RevMan5.3 software was used to analyze the data. Results Finally, 13 articles, including 1166 research objects, were included. ERAS nursing can improve the rehabilitation efficiency of affected limbs(OR=7.79, 95%CI [3.74, 16.23], P < 0.000 01). The incidence of complications was reduced(OR=0.25, 95%CI [0.17, 0.35], P < 0.000 01). Conclusion ERAS can effectively promote the functional rehabilitation of the affected limbs of breast cancer patients and reduce the incidence of postoperative complications.

关 键 词：加速康复外科 乳腺癌 术后康复 META分析 

分 类 号：R473.73[医药卫生—护理学]