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BMJ Open:术前运动对乳腺癌术后恢复的影响

2016-01-18 Seven L 译 MedSci原创

研究者进行了一项前瞻性队列研究,探究乳腺癌患者术前运动对术后恢复包括住院时长、长病假和自我评价身体和精神情况的影响。参与者在术前、术后3周和6周完成相关问卷调查。自我评估的术前运动情况按照SGPALS分为四级。以术后恢复(住院时长、长病假和自我评价身体和精神情况)作为主要结局指标。该研究纳入了220名患者,14% (31/220)的参与者认为自己不运动,61% (135/220)的患者将自己归为轻

研究者进行了一项前瞻性队列研究,探究乳腺癌患者术前运动对术后恢复包括住院时长、长病假和自我评价身体和精神情况的影响。参与者在术前、术后3周和6周完成相关问卷调查。自我评估的术前运动情况按照SGPALS分为四级。以术后恢复(住院时长、长病假和自我评价身体和精神情况)作为主要结局指标。

该研究纳入了220名患者,14% (31/220)的参与者认为自己不运动,61% (135/220)的患者将自己归为轻度运动, 20% (43/220)的患者积极运动(3+4级)。乳房切除术和部分乳房切除术相比,腋窝淋巴结清扫和前哨淋巴结活检相比,住院时间不大可能会更短,RR=0.88 (0.78 to 1.00)和0.82 (0.70 to 0.96)。积极运动的患者在术后3周感觉身体恢复的机会增加到85%,RR=1.85 (1.20 to 2.85)。而在术后6周,不同运动情况的患者术后恢复差异不大。

研究结果表明,术前积极运动的患者乳腺癌术后3周身体恢复更快。不过术后6周的恢复情况在不同运动组差异不大。同时研究者也没有发现不运动和积极运动组间长病假或精神恢复的差异。

原始出处:

Nilsson H, Angerås U,et al.Is preoperative physical activity related to post-surgery recovery? A cohort study of patients with breast cancer.BMJ Open. 2016 Jan 14;6(1):e007997


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    2016-07-25 feather89
  2. 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    2016-05-17 gaoxiaoe
  3. 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    2016-03-22 Gsurgeon

    真不错

    0

  4. 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    2016-03-22 Gsurgeon

    以后要叫病人多运动

    0

  5. 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    2016-01-19 wzf990214

    0

  6. 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createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRiaKicWybj5Q5KN7PWibALciaJ4W5bZwTlDSFRibFu87125pCq0IXePrC0mpbiasADRqL4NcjUoyQCT9De/0, createdBy=7c7e1636498, createdName=wzf990214, createdTime=Tue Jan 19 06:44:00 CST 2016, time=2016-01-19, status=1, ipAttribution=)]
    2016-01-19 wzf990214

    有意思

    0

  7. 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createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRiaKicWybj5Q5KN7PWibALciaJ4W5bZwTlDSFRibFu87125pCq0IXePrC0mpbiasADRqL4NcjUoyQCT9De/0, createdBy=7c7e1636498, createdName=wzf990214, createdTime=Tue Jan 19 06:44:00 CST 2016, time=2016-01-19, status=1, ipAttribution=)]
    2016-01-19 wzf990214

    0

  8. [GetPortalCommentsPageByObjectIdResponse(id=1726020, encodeId=64e51e2602027, content=<a href='/topic/show?id=986913980dd' target=_blank style='color:#2F92EE;'>#PE#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=13980, encryptionId=986913980dd, topicName=PE)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f06c33759375, createdName=feather89, createdTime=Mon Jul 25 00:26:00 CST 2016, time=2016-07-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1847874, encodeId=45f0184e87404, content=<a href='/topic/show?id=2977356edc' target=_blank style='color:#2F92EE;'>#BMJ#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3567, encryptionId=2977356edc, topicName=BMJ)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=148754, 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time=2016-01-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=58301, encodeId=5327583011c, content=赞, beContent=null, objectType=article, channel=null, level=null, likeNumber=137, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRiaKicWybj5Q5KN7PWibALciaJ4W5bZwTlDSFRibFu87125pCq0IXePrC0mpbiasADRqL4NcjUoyQCT9De/0, createdBy=7c7e1636498, createdName=wzf990214, createdTime=Tue Jan 19 06:45:00 CST 2016, time=2016-01-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=58296, encodeId=01b15829615, content=有意思, beContent=null, objectType=article, channel=null, level=null, likeNumber=141, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRiaKicWybj5Q5KN7PWibALciaJ4W5bZwTlDSFRibFu87125pCq0IXePrC0mpbiasADRqL4NcjUoyQCT9De/0, 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createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRiaKicWybj5Q5KN7PWibALciaJ4W5bZwTlDSFRibFu87125pCq0IXePrC0mpbiasADRqL4NcjUoyQCT9De/0, createdBy=7c7e1636498, createdName=wzf990214, createdTime=Tue Jan 19 06:44:00 CST 2016, time=2016-01-19, status=1, ipAttribution=)]
    2016-01-19 wzf990214

    有意思

    0

  9. [GetPortalCommentsPageByObjectIdResponse(id=1726020, encodeId=64e51e2602027, content=<a href='/topic/show?id=986913980dd' target=_blank style='color:#2F92EE;'>#PE#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=13980, encryptionId=986913980dd, topicName=PE)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f06c33759375, createdName=feather89, createdTime=Mon Jul 25 00:26:00 CST 2016, time=2016-07-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1847874, encodeId=45f0184e87404, content=<a href='/topic/show?id=2977356edc' target=_blank style='color:#2F92EE;'>#BMJ#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3567, encryptionId=2977356edc, topicName=BMJ)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=148754, 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createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRiaKicWybj5Q5KN7PWibALciaJ4W5bZwTlDSFRibFu87125pCq0IXePrC0mpbiasADRqL4NcjUoyQCT9De/0, createdBy=7c7e1636498, createdName=wzf990214, createdTime=Tue Jan 19 06:44:00 CST 2016, time=2016-01-19, status=1, ipAttribution=)]
    2016-01-19 wzf990214

    不错哦

    0

  10. 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createdBy=7c7e1636498, createdName=wzf990214, createdTime=Tue Jan 19 06:44:00 CST 2016, time=2016-01-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=58297, encodeId=14ae5829e63, content=不错哦, beContent=null, objectType=article, channel=null, level=null, likeNumber=155, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRiaKicWybj5Q5KN7PWibALciaJ4W5bZwTlDSFRibFu87125pCq0IXePrC0mpbiasADRqL4NcjUoyQCT9De/0, createdBy=7c7e1636498, createdName=wzf990214, createdTime=Tue Jan 19 06:44:00 CST 2016, time=2016-01-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=58298, encodeId=b3035829817, content=赞一个, beContent=null, objectType=article, channel=null, level=null, likeNumber=96, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRiaKicWybj5Q5KN7PWibALciaJ4W5bZwTlDSFRibFu87125pCq0IXePrC0mpbiasADRqL4NcjUoyQCT9De/0, createdBy=7c7e1636498, createdName=wzf990214, createdTime=Tue Jan 19 06:44:00 CST 2016, time=2016-01-19, status=1, ipAttribution=)]
    2016-01-19 wzf990214

    赞一个

    0

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发表在JAMA Internal Medicine上的医学文献的回顾表明:运动锻炼联合或不联合教育,均可减少腰背痛的风险。研究者检索了MEDLINE、EMBASE等数据库,纳入了23项研究报告,涉及21个不同的随机临床试验共计30,850名参与者。系统回顾和荟萃分析结果显示,中等质量的证据表明,运动结合教育可使腰背部疼痛风险降低一个档次(RR,0.55 [0.41-0.74]);低质量的证据表明对

Eur J Cancer:运动、激素替代治疗对乳腺癌风险的影响

先前有研究报道经常运动的女性乳腺癌风险更低,但是接受激素替代治疗(HRT)的女性乳腺癌风险会增加。研究者进行了一项研究,对运动和乳腺癌风险间关系进行量化处理,同时探究HRT和其他危险因素对此关联的影响。研究者检索了相关文献,使用随机效应模型进行荟萃分析,比较运动量最大和最低水平时乳腺癌风险情况,此外还对报道了每周运动时间或每周代谢当量的研究做了剂量反应分析。荟萃分析纳入了38篇独立的前瞻性研究,涉

JACC:以运动为基础的心脏康复可降低心血管疾病死亡率

虽然建议使用冠状动脉心脏疾病(CHD)的管理准则,但人们对于从运动锻炼为主的心脏康复(CR)现有的荟萃分析证据的适用性已经产生了质疑。

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