The effects of inpatient exercise therapy on the length of hospital stay in stages I-III colon cancer patients: randomized controlled trial
The effects of inpatient exercise therapy on the length of hospital stay in stages I-III colon cancer patients: randomized controlled trial
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DOI：
10.1007/s00384-013-1665-1
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发表时间：
2013-05-01
影响因子：
2.8
通讯作者：
Kim, Nam Kyu
中科院分区：
文献类型：
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作者：
Ahn, Ki-Yong;Hur, Hyuk;Kim, Nam Kyu
本研究的目的是检验术后住院运动计划对可手术结肠癌患者术后恢复的影响，我们进行了两组随机对照试验：术后运动与常规护理。本研究招募了2011年1月至12月期间从结直肠癌诊所接受结肠切除术的I-III期结肠癌患者。干预组的受试者参加术后住院运动计划，包括每天两次运动，包括伸展、核心、平衡和低强度阻力运动。常规护理组没有规定有组织的锻炼计划。主要终点是住院时间。次要终点为排气时间、首次进食流质食物时间、人体测量和身体功能测量。共有31名（86.1%）患者完成了试验，84.5%的患者坚持运动干预。在符合方案分析中，运动组的平均住院时间为7.82 +/- 1.07天，而常规治疗组为9.86 +/- 2.66天（平均差异为2.03天; 95%置信区间（CI）为-3.47至-0.60天; p = 0.005）。运动组的平均排气时间为52.18 ± 21.55小时，而常规护理组为71.86 ± 29.2小时（平均差异，19.69 h; 95% CI，-38.33至-1.04 h;在I-III期结肠癌患者中，低至中等强度的术后锻炼缩短了住院时间并改善了结肠切除术后的肠动力。
This study aimed to examine the effects of a postsurgical, inpatient exercise program on postoperative recovery in operable colon cancer patientsWe conducted the randomized controlled trial with two arms: postoperative exercise vs. usual care. Patients with stages I-III colon cancer who underwent colectomy between January and December 2011 from the Colorectal Cancer Clinic, were recruited for the study. Subjects in the intervention group participated in the postoperative inpatient exercise program consisted of twice daily exercise, including stretching, core, balance, and low-intensity resistance exercises. The usual care group was not prescribed a structured exercise program. The primary endpoint was the length of hospital stay. Secondary endpoints were time to flatus, time to first liquid diet, anthropometric measurements, and physical function measurements.A total of 31 (86.1 %) patients completed the trial, with adherence to exercise interventions at 84.5 %. The mean length of hospital stay was 7.82 +/- 1.07 days in the exercise group compared with 9.86 +/- 2.66 days in usual care (mean difference, 2.03 days; 95 % confidence interval (CI), -3.47 to -0.60 days; p = 0.005) in per-protocol analysis. The mean time to flatus was 52.18 +/- 21.55 h in the exercise group compared with 71.86 +/- 29.2 h in the usual care group (mean difference, 19.69 h; 95 % CI, -38.33 to -1.04 h; p = 0.036).Low-to-moderate-intensity postsurgical exercise reduces length of hospital stay and improves bowel motility after colectomy procedure in patients with stages I-III colon cancer.