The Fully Engaged Inspiratory Muscle Training Reduces Postoperative Pulmonary Complications Rate and Increased Respiratory Muscle Function in Patients With Upper Abdominal Surgery: a Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 30
- 试验地点
- 1
- 主要终点
- Diaphragm mobilit
研究概览
简要总结
Upper abdominal surgical treatment may have reduced respiratory muscle function and mucociliary clearance, which might be a consequence of postoperative pulmonary complications (PPCs). The threshold inspiratory muscle training (IMT) may serve as an effective modality to improve respiratory muscle strength and endurance in patients. However, whether this training could help patients with upper abdominal surgery remain to be determined.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 20 Years 至 85 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •≧20 years old with upper abdominal surgery,
- •American Society of Anesthesiologists; ASA) I-IV
- •body Mass Index; BMI≥ 18
- •able to follow exercise protocol. T
排除标准
- •history of prior abdominal surgery
- •high risk of exercise contraindications (e.g. severe cardiac or cardiovascular disease), 3) American Society of Anesthesiologists; ASA) V-IV
- •unable to follow exercise protocol 5) severe organ failure
研究组 & 干预措施
Intervention group
We conducted a fully engaged inspiratory muscle training (IMT) program. The exercise group received the intervention threshold IMT from preoperative to postoperative undergoing upper abdominal surgery. The IMT was started before 3 weeks of operation and surveyed in the followed 4 weeks.
干预措施: Inspiratory muscle training (Behavioral)
Usual care group
The Usual care group will receive regulated education.
干预措施: Regulated care and education (Behavioral)
结局指标
主要结局
Diaphragm mobilit
时间窗: Change from baseline (0 week) to follow up (4 weeks)
Diaphragm ultrasonography
Postoperative Pulmonary complications rate
时间窗: Change from baseline (0 week) to follow up (4 weeks)
According to the definition of PPCs on European Perioperative Clinical Outcome 2015
Respiratory muscles strength
时间窗: Change from baseline (0 week) to follow up (4 weeks)
MIP and MEP are done by measuring the upper airway pressure
次要结局
- Quality of life score(Change from baseline (0 week) to follow up (4 weeks))
研究者
Kun-Ling Tsai
Associate Professor
National Cheng Kung University