关节镜下肩袖修补术后患者康复时机的最佳证据总结  

Summary of best evidence for rehabilitation timing in patients undergoing arthroscopic rotator cuff repair surgery

作　　者：王亚楠 张思锐 邢月蒙 邓宝贵[2] WANG Yanan;ZHANG Sirui;XING Yuemeng;DENG Baogui(The First Clinical Medical College of Guangzhou University of Chinese Medicine,Guangzhou,Guangdong 510000,China)

机构地区：[1]广州中医药大学第一临床医学院,广东广州510000 [2]广州中医药大学第一附属医院运动医学科,广东广州510000

出　　处：《中国临床研究》2024年第4期574-579,共6页Chinese Journal of Clinical Research

基　　金：广东省中医药局科研项目(20221129)。

摘　　要：目的 检索、整理和总结关节镜下肩袖修补术后患者康复时机的最佳证据,为临床实践提供参考。方法 系统检索UpToDate、USC、AHQR、Cochrane Library、JBI Library、Embase、PubMed、中国生物医学文献数据库、中国知网、维普、万方、英国国家卫生与临床优化研究所(NICE)等数据库及网站。文献检索类型包括临床决策、临床实践指南、专家共识、最佳证据总结和系统评价/meta分析。检索时间为2013年1月1日至2023年1月1日,收集关节镜下肩袖修补术后患者康复时机的相关文献。由2名研究者独立进行文献筛选与方法学质量评价,提取、总结符合标准的文献资料并形成最佳证据。结果 共纳入11篇文献,包括3篇指南,2篇专家共识,6篇系统评价。通过对证据的总结与提炼,共形成5方面,包括早期/延迟方案的定义、固定时间、康复时机、锻炼方式、功能结果,共25条证据。结论 本研究总结出关节镜下肩袖修补术后康复时机的最佳证据,临床人员可根据最佳证据为患者实施干预,选择最佳时机进行针对性的康复方案,并及时调整康复策略,以提高患者的适应性,促进患者快速康复。Objective To search,organize,and summarize the best evidence of rehabilitation timing for patients after arthroscopic rotator cuff repair surgery,providing reference for clinical practice.Methods Databases and websites such as UpToDate,USC,AHQR,Cochrane Library,JBI Library,Embase,PubMed,China Biomedical Literature Database,CNKI,VIP,Wanfang,and the National Institute of Health and Care Extellence(NICE)were searched systematically.The types of literature retrieval included clinical decision-making,clinical practice guidelines,expert consensus,best evidence summary,and systematic evaluation/meta-analysis.The search period was from January 1,2013 to January 1,2023,and relevant literature on the timing of rehabilitation for patients undergoing arthroscopic rotator cuff repair surgery was collected.Two researchers independently conducted literature screening and methodological quality evaluation,extracted and summarized literature that met the standards,and formed the best evidence.Results A total of 11 articles were included,including 3 guidelines,2 expert consensus,and 6 systematic evaluations.By summarizing and refining the evidence,a total of 5 aspects were formed,including the definition of early/delayed plans,fixed time,rehabilitation timing,exercise methods,and functional outcomes,with a total of 25 pieces of evidence.Conclusion This study summarizes the best evidence for rehabilitation timing after arthroscopic rotator cuff repair surgery.Clinical staff can intervene with patients based on the best evidence,choose the best timing for targeted rehabilitation plans,and adjust rehabilitation strategies in a timely manner to improve patients adaptability and promote rapid recovery.

关 键 词：肩袖损伤 肩袖修补术 术后康复 康复时机 早期锻炼 延迟锻炼 证据总结 循证护理 

分 类 号：R687.4[医药卫生—骨科学] R493[医药卫生—外科学]