Abstract
ObjectiveTo analyze the difference between exercised-based pre-rehabilitation and postoperative rapid rehabilitation of gastric cancer patients.MethodsThe clinical data of 120 patients who underwent surgical treatment between 2016 and 2018 in our hospital with pathologically confirmed gastric cancer were retrospectively reviewed. According to the different treatments during the perioperative period, they were divided into exercised-based pre-rehabilitation group and postoperative rapid rehabilitation group. Factor analysis was used to analyze pre-rehabilitation and postoperative rehabilitation of patients with gastric cancer after stress response, nutritional status, insulin resistance, and inflammatory response in patients with gastric cancer, and to further evaluate the value of pre-recovery accelerated postoperative recovery.ResultsThe postoperative stress response, insulin resistance, and inflammatory response in the pre-rehabilitation group were lower than the conventional treatment group. The nutritional status was improved faster than the traditional treatment group. Exercised-based pre-rehabilitation for the rapid recovery of postoperative gastrointestinal function in patients with gastric cancer surgery has significant value.ConclusionExercised-based pre-rehabilitation has great significance for the accelerated rehabilitation of patients with gastric cancer during perioperative period.
Highlights
Gastric cancer (GC) is the most common malignant tumors of the digestive system, which is highly malignant and can occur at any age [1]
The preoperative nutritional risk scores of GC patients were evaluated by NRS 2002, and two groups of which were all above 3
According to the actual situation of our hospital, this study explored the exercise-based pre-rehabilitation strategies and specific scheme of practical application for patients with GC surgery
Summary
Gastric cancer (GC) is the most common malignant tumors of the digestive system, which is highly malignant and can occur at any age [1]. With the improvement of living standards, the change of living habits, and the growth and aging of the population, the number of GC patients admitted to county-level medical institutions is increasing[2, 3]. With the introduction concept of enhanced recovery after surgery (ERAS) [4,5,6], the hospital stay and postoperative recovery of surgical patients have changed dramatically. Korea researchers suggested that dietary factors were closely associated with gastric cancer risk. They believed that a significant inverse association with gastric cancer risk was observed in flavones, even after additional adjustment for fruits and vegetable consumption in women [7]
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