Journal of Shanghai Jiao Tong University (Medical Science) ›› 2023, Vol. 43 ›› Issue (9): 1201-1210.doi: 10.3969/j.issn.1674-8115.2023.09.015
• Clinical nursing • Previous Articles
LUO Chen1,2(), SHEN Ling1(), WANG Chuanwei3, GU Jiani4, WANG Jin5, ZHAO Li1, HUANG Shuai1
Received:
2023-01-29
Accepted:
2023-05-23
Online:
2023-09-28
Published:
2023-09-28
Contact:
SHEN Ling
E-mail:Luo.CH@sjtu.edu.cn;shenling@xinhuamed.com.cn
Supported by:
CLC Number:
LUO Chen, SHEN Ling, WANG Chuanwei, GU Jiani, WANG Jin, ZHAO Li, HUANG Shuai. Current status and influencing factors of early mobilization of patients undergoing laparoscopic radical resection of colorectal cancer[J]. Journal of Shanghai Jiao Tong University (Medical Science), 2023, 43(9): 1201-1210.
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URL: https://xuebao.shsmu.edu.cn/EN/10.3969/j.issn.1674-8115.2023.09.015
Item | Within 24 h after surgery | Within >24‒48 h after surgery | Within >48‒72 h after surgery |
---|---|---|---|
Mobility/n(%) | 47 (16.97) | 167 (60.29) | 216 (77.98) |
Walking distance/m | 55.46 (18.28, 145.60) | 138.48 (37.20, 307.88) | 169.62 (61.81, 395.57) |
Minimum walking distance/m | 2.60 | 2.24 | 1.12 |
Maximum walking distance/m | 803.68 | 2 040.92 | 5 302.80 |
Brown rating of mobility/point | 2 (0, 4) | 8 (0, 10) | 8 (8, 10) |
Brown level of mobility | Low | Moderate | Moderate |
Tab 1 Situation of mobilization within 72 h after surgery
Item | Within 24 h after surgery | Within >24‒48 h after surgery | Within >48‒72 h after surgery |
---|---|---|---|
Mobility/n(%) | 47 (16.97) | 167 (60.29) | 216 (77.98) |
Walking distance/m | 55.46 (18.28, 145.60) | 138.48 (37.20, 307.88) | 169.62 (61.81, 395.57) |
Minimum walking distance/m | 2.60 | 2.24 | 1.12 |
Maximum walking distance/m | 803.68 | 2 040.92 | 5 302.80 |
Brown rating of mobility/point | 2 (0, 4) | 8 (0, 10) | 8 (8, 10) |
Brown level of mobility | Low | Moderate | Moderate |
Item | Non-early mobilization group (n=230) | Early mobilization group (n=47) | χ2/t value | P value |
---|---|---|---|---|
Gender/n(%) | 2.015 | 0.156 | ||
Male | 136 (59.13) | 33 (70.21) | ||
Female | 94 (40.87) | 14 (29.79) | ||
Age/n(%) | 6.000 | 0.049 | ||
<60 years old | 63 (27.39) | 21 (44.68) | ||
60‒69 years old | 96 (41.74) | 17 (36.17) | ||
≥70 years old | 71 (30.87) | 9 (19.15) | ||
Education level/n(%) | 0.778 | 0.378 | ||
Junior high school and below | 119 (51.74) | 21 (44.68) | ||
Senior high school and above | 111 (48.26) | 26 (55.32) | ||
Medical insurance payment method/n(%) | 1.595 | 0.451 | ||
Urban medical insurance | 185 (80.43) | 34 (72.34) | ||
Rural medical insurance | 37 (16.09) | 11 (23.40) | ||
Self-payment | 8 (3.48) | 2 (4.26) | ||
Marital status/n(%) | 2.120 | 0.548 | ||
Married | 220 (95.65) | 47 (100.00) | ||
Unmarried | 6 (2.61) | 0 (0) | ||
Divorced | 2 (0.87) | 0 (0) | ||
Widowed | 2 (0.87) | 0 (0) | ||
Place of abode/n(%) | 0.398 | 0.528 | ||
Town | 190 (82.61) | 37 (78.72) | ||
Village | 40 (17.39) | 10 (21.28) | ||
Underlying disease/n(%) | 0.049 | 0.825 | ||
No | 89 (38.70) | 19 (40.43) | ||
Yes | 141 (61.30) | 28 (59.57) | ||
Preoperative NRS 2002 score/n (%) | 0.662 | 0.416 | ||
<3 points | 209 (90.87) | 45 (95.74) | ||
≥3 points | 21 (9.13) | 2 (4.26) | ||
Preoperative BMI/n(%) | 0.602 | 0.740 | ||
<18.5 kg·m-2 | 17 (7.39) | 2 (4.26) | ||
18.5‒24.0 kg·m-2 | 132 (57.39) | 28 (59.57) | ||
>24.0 kg·m-2 | 81 (35.22) | 17 (36.17) | ||
Preoperative Hb level/n(%) | 4.594 | 0.032 | ||
Low | 81 (35.22) | 9 (19.15) | ||
Normal | 149 (64.78) | 38 (80.85) | ||
Preoperative albumin level/n(%) | 0.854 | 0.355 | ||
Low | 130 (56.52) | 30 (63.83) | ||
Normal | 100 (43.48) | 17 (36.17) | ||
Preoperative platelet level/(×109 L-1) | 217.61±76.89 | 215.47±60.11 | 0.180 | 0.857 |
Cardiac function/n(%) | 0.116 | 0.943 | ||
Ⅰ | 13 (5.65) | 3 (6.38) | ||
Ⅱ | 189 (82.17) | 39 (82.98) | ||
Ⅲ | 28 (12.17) | 5 (10.64) | ||
ASA/n(%) | 0.620 | 0.734 | ||
Ⅰ | 3 (1.30) | 0 (0) | ||
Ⅱ | 87 (37.83) | 18 (38.30) | ||
Ⅲ | 140 (60.87) | 29 (61.70) | ||
Anesthesia duration/h | 3.73±0.95 | 3.36±0.92 | 2.601 | 0.010 |
Number of indwelling catheters/n | 3.04±0.80 | 2.75±0.87 | 2.236 | 0.026 |
Stopping ECG monitor within 24 h after surgery/n(%) | 1.557 | 0.212 | ||
No | 20 (8.70) | 1 (2.13) | ||
Yes | 210 (91.30) | 46 (97.87) | ||
Stopping venous PCA within 24 h after surgery/n(%) | 2.404 | 0.121 | ||
No | 189 (82.17) | 34 (72.34) | ||
Yes | 41 (17.83) | 13 (27.66) | ||
Nausea and vomiting within 24 h after surgery/n(%) | 1.123 | 0.289 | ||
No | 169 (73.48) | 38 (80.85) | ||
Yes | 61 (26.52) | 9 (19.15) | ||
VAS within 24 h after surgery/point | 0.95±1.65 | 0.75±1.53 | 0.781 | 0.436 |
Tab 2 Comparison of relevant factors between the non-early mobilization group and the early mobilization group
Item | Non-early mobilization group (n=230) | Early mobilization group (n=47) | χ2/t value | P value |
---|---|---|---|---|
Gender/n(%) | 2.015 | 0.156 | ||
Male | 136 (59.13) | 33 (70.21) | ||
Female | 94 (40.87) | 14 (29.79) | ||
Age/n(%) | 6.000 | 0.049 | ||
<60 years old | 63 (27.39) | 21 (44.68) | ||
60‒69 years old | 96 (41.74) | 17 (36.17) | ||
≥70 years old | 71 (30.87) | 9 (19.15) | ||
Education level/n(%) | 0.778 | 0.378 | ||
Junior high school and below | 119 (51.74) | 21 (44.68) | ||
Senior high school and above | 111 (48.26) | 26 (55.32) | ||
Medical insurance payment method/n(%) | 1.595 | 0.451 | ||
Urban medical insurance | 185 (80.43) | 34 (72.34) | ||
Rural medical insurance | 37 (16.09) | 11 (23.40) | ||
Self-payment | 8 (3.48) | 2 (4.26) | ||
Marital status/n(%) | 2.120 | 0.548 | ||
Married | 220 (95.65) | 47 (100.00) | ||
Unmarried | 6 (2.61) | 0 (0) | ||
Divorced | 2 (0.87) | 0 (0) | ||
Widowed | 2 (0.87) | 0 (0) | ||
Place of abode/n(%) | 0.398 | 0.528 | ||
Town | 190 (82.61) | 37 (78.72) | ||
Village | 40 (17.39) | 10 (21.28) | ||
Underlying disease/n(%) | 0.049 | 0.825 | ||
No | 89 (38.70) | 19 (40.43) | ||
Yes | 141 (61.30) | 28 (59.57) | ||
Preoperative NRS 2002 score/n (%) | 0.662 | 0.416 | ||
<3 points | 209 (90.87) | 45 (95.74) | ||
≥3 points | 21 (9.13) | 2 (4.26) | ||
Preoperative BMI/n(%) | 0.602 | 0.740 | ||
<18.5 kg·m-2 | 17 (7.39) | 2 (4.26) | ||
18.5‒24.0 kg·m-2 | 132 (57.39) | 28 (59.57) | ||
>24.0 kg·m-2 | 81 (35.22) | 17 (36.17) | ||
Preoperative Hb level/n(%) | 4.594 | 0.032 | ||
Low | 81 (35.22) | 9 (19.15) | ||
Normal | 149 (64.78) | 38 (80.85) | ||
Preoperative albumin level/n(%) | 0.854 | 0.355 | ||
Low | 130 (56.52) | 30 (63.83) | ||
Normal | 100 (43.48) | 17 (36.17) | ||
Preoperative platelet level/(×109 L-1) | 217.61±76.89 | 215.47±60.11 | 0.180 | 0.857 |
Cardiac function/n(%) | 0.116 | 0.943 | ||
Ⅰ | 13 (5.65) | 3 (6.38) | ||
Ⅱ | 189 (82.17) | 39 (82.98) | ||
Ⅲ | 28 (12.17) | 5 (10.64) | ||
ASA/n(%) | 0.620 | 0.734 | ||
Ⅰ | 3 (1.30) | 0 (0) | ||
Ⅱ | 87 (37.83) | 18 (38.30) | ||
Ⅲ | 140 (60.87) | 29 (61.70) | ||
Anesthesia duration/h | 3.73±0.95 | 3.36±0.92 | 2.601 | 0.010 |
Number of indwelling catheters/n | 3.04±0.80 | 2.75±0.87 | 2.236 | 0.026 |
Stopping ECG monitor within 24 h after surgery/n(%) | 1.557 | 0.212 | ||
No | 20 (8.70) | 1 (2.13) | ||
Yes | 210 (91.30) | 46 (97.87) | ||
Stopping venous PCA within 24 h after surgery/n(%) | 2.404 | 0.121 | ||
No | 189 (82.17) | 34 (72.34) | ||
Yes | 41 (17.83) | 13 (27.66) | ||
Nausea and vomiting within 24 h after surgery/n(%) | 1.123 | 0.289 | ||
No | 169 (73.48) | 38 (80.85) | ||
Yes | 61 (26.52) | 9 (19.15) | ||
VAS within 24 h after surgery/point | 0.95±1.65 | 0.75±1.53 | 0.781 | 0.436 |
Postoperative recovery indicator | Non-early mobilization group (n=230) | Early mobilization group (n=47) | χ2 value | P value |
---|---|---|---|---|
Initial exhaust time/n(%) | 4.752 | 0.029 | ||
<24 h | 49 (21.30) | 17 (36.17) | ||
≥24 h | 181 (78.70) | 30 (63.83) | ||
Initial defecation time/n(%) | 3.809 | 0.049 | ||
<72 h | 106 (46.09) | 29 (61.70) | ||
≥72 h | 124 (53.91) | 18 (38.30) | ||
Postoperative length of stay/n(%) | 5.650 | 0.017 | ||
≤7 d | 15 (6.52) | 8 (17.02) | ||
>7 d | 215 (93.48) | 39 (82.98) |
Tab 3 Comparison of postoperative recovery indicators between the non-early mobilization group and the early mobilization group
Postoperative recovery indicator | Non-early mobilization group (n=230) | Early mobilization group (n=47) | χ2 value | P value |
---|---|---|---|---|
Initial exhaust time/n(%) | 4.752 | 0.029 | ||
<24 h | 49 (21.30) | 17 (36.17) | ||
≥24 h | 181 (78.70) | 30 (63.83) | ||
Initial defecation time/n(%) | 3.809 | 0.049 | ||
<72 h | 106 (46.09) | 29 (61.70) | ||
≥72 h | 124 (53.91) | 18 (38.30) | ||
Postoperative length of stay/n(%) | 5.650 | 0.017 | ||
≤7 d | 15 (6.52) | 8 (17.02) | ||
>7 d | 215 (93.48) | 39 (82.98) |
Variable | Assignment instruction |
---|---|
Anesthesia duration | Original value |
Number of indwelling catheters | Original value |
Age | <60 years old=0; 60‒69 years old=1; ≥70 years old=2 |
Preoperative Hb level | Low=0; Normal=1 |
Tab 4 Assignment of independent variables in binary Logistic regression analysis
Variable | Assignment instruction |
---|---|
Anesthesia duration | Original value |
Number of indwelling catheters | Original value |
Age | <60 years old=0; 60‒69 years old=1; ≥70 years old=2 |
Preoperative Hb level | Low=0; Normal=1 |
Item | β | SE | Wald χ2 | P value | OR | 95%CI |
---|---|---|---|---|---|---|
Age (<60 years old) | - | - | 4.799 | 0.091 | - | - |
Age (60‒69 years old) | -0.620 | 0.377 | 2.707 | 0.100 | 0.538 | 0.257‒1.126 |
Age (≥70 years old) | -0.890 | 0.447 | 3.962 | 0.047 | 0.411 | 0.171‒0.986 |
Preoperative Hb level (normal) | 0.871 | 0.412 | 4.462 | 0.035 | 2.389 | 1.065‒5.362 |
Number of indwelling catheters | -0.371 | 0.216 | 2.960 | 0.085 | 0.690 | 0.452‒1.053 |
Anesthesia duration | -0.394 | 0.192 | 4.221 | 0.040 | 0.674 | 0.463‒0.982 |
Constant | 0.706 | 0.854 | 0.684 | 0.408 | 2.027 | - |
Tab 5 Binary Logistic regression analysis of factors influencing getting out of bed within 24 h after surgery
Item | β | SE | Wald χ2 | P value | OR | 95%CI |
---|---|---|---|---|---|---|
Age (<60 years old) | - | - | 4.799 | 0.091 | - | - |
Age (60‒69 years old) | -0.620 | 0.377 | 2.707 | 0.100 | 0.538 | 0.257‒1.126 |
Age (≥70 years old) | -0.890 | 0.447 | 3.962 | 0.047 | 0.411 | 0.171‒0.986 |
Preoperative Hb level (normal) | 0.871 | 0.412 | 4.462 | 0.035 | 2.389 | 1.065‒5.362 |
Number of indwelling catheters | -0.371 | 0.216 | 2.960 | 0.085 | 0.690 | 0.452‒1.053 |
Anesthesia duration | -0.394 | 0.192 | 4.221 | 0.040 | 0.674 | 0.463‒0.982 |
Constant | 0.706 | 0.854 | 0.684 | 0.408 | 2.027 | - |
1 | SUNG H, FERLAY J, SIEGEL R L, et al. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries[J]. CA Cancer J Clin, 2021, 71(3): 209-249. |
2 | CAO W, CHEN H D, YU Y W, et al. Changing profiles of cancer burden worldwide and in China: a secondary analysis of the global cancer statistics 2020[J]. Chin Med J (Engl), 2021, 134(7): 783-791. |
3 | ROSOWICZ A, BRODY J S, LAZAR D J, et al. Early ambulation is associated with improved outcomes following colorectal surgery[J]. Am Surg, 2022: 31348221142590. |
4 | 中华医学会外科学分会, 中华医学会麻醉学分会. 中国加速康复外科临床实践指南(2021)(五)[J]. 协和医学杂志, 2021, 12(5): 658-665. |
Chinese Society of Surgery, Chinese Society of Anesthesiology. Clinical practice guidelines for ERAS in China (2021)(Ⅴ)[J]. Medical Journal of Peking Union Medical College Hospital, 2021, 12(5): 658-665. | |
5 | VAN ZELM R, COECKELBERGHS E, SERMEUS W, et al. Variation in care for surgical patients with colorectal cancer: protocol adherence in 12 European hospitals[J]. Int J Colorectal Dis, 2017, 32(10): 1471-1478. |
6 | 倪平, 陈京立, 刘娜. 护理研究中量性研究的样本量估计[J]. 中华护理杂志, 2010, 45(4): 378-380. |
NI P, CHEN J L, LIU N. Sample size estimation for quantitative research in nursing research[J]. Chinese Journal of Nursing, 2010, 45(4): 378-380. | |
7 | 梅阳阳. 加速康复外科理念下结直肠癌根治术后患者早期活动方案的构建与应用研究[D]. 新乡: 新乡医学院, 2021. |
MEI Y Y. Construction and application of early mobilization protocol for colorectal surgery in enhanced recovery after surgery[D]. Xinxiang: Xinxiang Medical University, 2021. | |
8 | KORANNE A, BYAKODI K G, TEGGIMANI V, et al. A comparative study between peptic ulcer perforation score, Mannheim peritonitis index, ASA score, and Jabalpur score in predicting the mortality in perforated peptic ulcers[J]. Surg J (N Y), 2022, 8(3): e162-e168. |
9 | CARABALLO C, DESAI N R, MULDER H, et al. Clinical implications of the New York Heart Association classification[J]. J Am Heart Assoc, 2019, 8(23): e014240. |
10 | KONDRUP J, ALLISON S P, ELIA M, et al. ESPEN guidelines for nutrition screening 2002[J]. Clin Nutr, 2003, 22(4): 415-421. |
11 | 万学红, 卢雪峰. 诊断学[M]. 9版. 北京: 人民卫生出版社, 2018: 237, 352. |
WAN X H, LU X F. Diagnostics[M]. 9th ed. Beijing: People′s Medical Publishing House, 2018: 237, 352. | |
12 | KARCIOGLU O, TOPACOGLU H, DIKME O, et al. A systematic review of the pain scales in adults: which to use?[J]. Am J Emerg Med, 2018, 36(4): 707-714. |
13 | BROWN C J, FRIEDKIN R J, INOUYE S K. Prevalence and outcomes of low mobility in hospitalized older patients[J]. J Am Geriatr Soc, 2004, 52(8): 1263-1270. |
14 | 王明芽, 庄珊珊. 早期活动护理在腹腔镜下结直肠癌术后的应用[J]. 中国卫生标准管理, 2019, 10(23): 147-149. |
WANG M Y, ZHUANG S S. Application of early active nursing intervention in laparoscopic colorectal cancer surgery[J]. China Health Standard Management, 2019, 10(23): 147-149. | |
15 | 刘樱, 吴红学, 胡保红. 快速康复外科理念下的优质护理在结直肠癌手术患者中的应用效果[J]. 中华结直肠疾病电子杂志, 2021, 10(3): 332-336. |
LIU Y, WU H X, HU B H. Applied effects of fast track surgery-based high quality nursing during surgery of colorectal cancer[J]. Chinese Journal of Colorectal Disease (Electronic Edition), 2021, 10(3): 332-336. | |
16 | 朱世琴, 邓波, 宋美璇, 等. 结直肠癌患者术后早期活动方案的构建与应用研究[J]. 中国护理管理, 2021, 21(7): 1025-1030. |
ZHU S Q, DENG B, SONG M X, et al. Construction and effects of early mobilization program for postoperative patients with colorectal cancer[J]. Chinese Nursing Management, 2021, 21(7): 1025-1030. | |
17 | LJUNGQVIST O, SCOTT M, FEARON K C. Enhanced recovery after surgery: a review[J]. JAMA Surg, 2017, 152(3): 292-298. |
18 | VAN ROOIJEN S, CARLI F, DALTON S, et al. Multimodal prehabilitation in colorectal cancer patients to improve functional capacity and reduce postoperative complications: the first international randomized controlled trial for multimodal prehabilitation[J]. BMC Cancer, 2019, 19(1): 98. |
19 | FICARI F, BORGHI F, CATARCI M, et al. Enhanced recovery pathways in colorectal surgery: a consensus paper by the Associazione Chirurghi Ospedalieri Italiani (ACOI) and the PeriOperative Italian Society (POIS)[J]. G Chir, 2019, 40(4 Supp): 1-40. |
20 | CURTIS N J, NOBLE E, SALIB E, et al. Does hospital readmission following colorectal cancer resection and enhanced recovery after surgery affect long term survival?[J]. Colorectal Dis, 2017, 19(8): 723-730. |
21 | 陈静文, 徐林霞, 吴秀丽, 等. 基于Logistic回归与决策树模型的结直肠癌术后患者非计划性再入院影响因素分析[J]. 护理学报, 2022, 29(2): 1-6 |
CHEN J W, XU L X, WU X L, et al. Risk factors of unplanned readmission in postoperative patients with colorectal cancer: an analysis based on Logistic regression and decision tree[J]. Journal of Nursing, 2022, 29(2): 1-6. | |
22 | LIU X Y, WANG Z J, YAO H, et al. Effects of acupuncture treatment on postoperative gastrointestinal dysfunction in colorectal cancer: study protocol for randomized controlled trials[J]. Trials, 2022, 23(1): 100. |
23 | 吴茜, 汪夏云, 顾一帆, 等. 胃肠道肿瘤患者术后早期下床活动现状及影响因素分析[J]. 护理学杂志, 2021, 36(15): 27-29. |
WU Q, WANG X Y, GU Y F, et al. Status quo and influencing factors of early mobilization of patients after gastrointestinal tumors surgery[J]. Journal of Nursing Science, 2021, 36(15): 27-29. | |
24 | 李智, 龚姝. 加速康复外科理念下促进腹部手术患者术后早期下床活动的研究进展[J]. 中国护理管理, 2019, 19(1): 142-145. |
LI Z, GONG S. Research progress on strategies to promote early mobilization among patients after abdominal surgery based on the concept to Enhanced Recovery After Surgery[J]. Chinese Nursing Management, 2019, 19(1): 142-145. | |
25 | 熊方丽, 贺育华, 蒋晓莲. 加速康复外科模式下胃癌患者术后早期下床活动现状及影响因素分析[J]. 中国普外基础与临床杂志, 2022, 29(12): 1618-1622. |
XIONG F L, HE Y H, JIANG X L. Analyses of status and influencing factors of early ambulation in patients with gastric cancer under enhanced recovery surgery mode[J]. Chinese Journal of Bases and Clinics in General Surgery, 2022, 29(12): 1618-1622. | |
26 | 张晓蕾, 王军. 神经外科手术患者术后早期下床活动的影响因素分析[J]. 中华现代护理杂志, 2021, 27(2): 227-231. |
ZHANG X L, WANG J. Influencing factors of early ambulation after surgery in neurosurgery patients[J]. Chinese Journal of Modern Nursing, 2021, 27(2): 227-231. | |
27 | GUSTAFSSON U O, SCOTT M J, HUBNER M, et al. Guidelines for perioperative care in elective colorectal surgery: Enhanced Recovery After Surgery (ERAS®) Society recommendations: 2018[J]. World J Surg, 2019, 43(3): 659-695. |
28 | 郑立君, 胡臻, 常涛, 等. 腹腔镜下“无管化”结直肠手术的临床研究[J]. 中华结直肠疾病电子杂志, 2018, 7(5): 447-452. |
ZHENG L J, HU Z, CHANG T, et al. Clinical study of laparoscopic “tube-free” colorectal surgery[J]. Chinese Journal of Colorectal Disease (Electronic Edition), 2018, 7(5): 447-452. | |
29 | ZHAO S, ZHANG L Y, GAO F, et al. Transanal drainage tube use for preventing anastomotic leakage after laparoscopic low anterior resection in patients with rectal cancer: a randomized clinical trial[J]. JAMA Surg, 2021, 156(12): 1151-1158. |
30 | SEGELMAN J, NYGREN J. Best practice in major elective rectal/pelvic surgery: enhanced recovery after surgery (ERAS)[J]. Updates Surg, 2017, 69(4): 435-439. |
31 | GRASS F, PACHE B, MARTIN D, et al. Feasibility of early postoperative mobilisation after colorectal surgery: a retrospective cohort study[J]. Int J Surg, 2018, 56: 161-166. |
32 | 沈波, 王建荣, 程艳爽. 上腹部术后患者早期活动现状及影响因素分析[J]. 解放军医学院学报, 2021, 42(10): 1053-1057. |
SHEN B, WANG J R, CHENG Y S. Investigation on status and influencing factors of early mobilization in patients undergoing upper abdominal surgery[J]. Academic Journal of Chinese PLA Medical School, 2021, 42(10): 1053-1057. | |
33 | ZENG W G, LIU M J, ZHOU Z X, et al. Enhanced recovery programme following laparoscopic colorectal resection for elderly patients[J]. ANZ J Surg, 2018, 88(6): 582-586. |
34 | 汪夏云, 顾一帆, 陈红, 等. 术前三联预康复对老年结直肠肿瘤病人康复的影响[J]. 护理研究, 2022, 36(18): 3233-3238. |
WANG X Y, GU Y F, CHEN H, et al. Effect of preoperative trimodal prehabilitation on rehabilitation of elderly patients with colorectal cancer[J]. Chinese Nursing Research, 2022, 36(18): 3233-3238. | |
35 | GILLIS C, LI C, LEE L, et al. Prehabilitation versus rehabilitation: a randomized control trial in patients undergoing colorectal resection for cancer[J]. Anesthesiology, 2014, 121(5): 937-947. |
36 | NGUYEN Q, MENG E, BERUBE J, et al. Preoperative anemia and transfusion in cardiac surgery: a single-centre retrospective study[J]. J Cardiothorac Surg, 2021, 16(1): 109. |
37 | MUÑOZ M, GÓMEZ-RAMÍREZ S, MARTÍN-MONTAÑEZ E, et al. Perioperative anemia management in colorectal cancer patients: a pragmatic approach[J]. World J Gastroenterol, 2014, 20(8): 1972-1985. |
38 | 秦芳, 李秋萍, 陈曦, 等. 外科术后患者早期下床活动评估与应对的研究进展[J]. 护理学杂志, 2020, 35(5): 101-105. |
QIN F, LI Q P, CHEN X, et al. Assessment and coping with early out-of-bed mobilization of patients after surgery: a review[J]. Journal of Nursing Science, 2020, 35(5): 101-105. | |
39 | American Society of Anesthesiologists Task Force on Perioperative Blood Management. Practice guidelines for perioperative blood management: an updated report by the American Society of Anesthesiologists Task Force on Perioperative Blood Management[J]. Anesthesiology, 2015, 122(2): 241-275. |
40 | 中华医学会外科学分会, 中华医学会麻醉学分会. 中国加速康复外科临床实践指南(2021)(一)[J]. 中华麻醉学杂志, 2021, 41(9): 1028-1034. |
Chinese Society of Surgery, Chinese Society of Anesthesiology. Clinical practice guidelines for ERAS in China(2021)(Ⅰ)[J]. Chinese Journal of Anesthesiology, 2021, 41(9): 1028-1034. | |
41 | XU C S, QU X D, QU Z J, et al. Effect of subarachnoid anesthesia combined with propofol target-controlled infusion on blood loss and transfusion for posterior total hip arthroplasty in elderly patients[J]. Chin Med J (Engl), 2020(6): 650-656. |
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