Effect of multi-mode pre-rehabilitation on patients undergoing Jinling procedure
10.16151/j.1007-810x.2025.03.007
- VernacularTitle:多模式预康复在金陵术病人中的应用效果观察
- Author:
Li-Yun LI
1
;
Yang YANG
;
Xiang-Hong YE
;
Ting SUN
;
Fei-Long GUO
;
Jia-Huan LIU
;
Cui-Li WU
Author Information
1. 中国人民解放军东部战区总医院普通外科,江苏 南京 210002
- Keywords:
Multi-mode pre-rehabilitation;
Jinling Procedure;
Obstinate constipation
- From:
Parenteral & Enteral Nutrition
2025;32(3):165-170
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the efficacy of multimodal prehabilitation in patients with refractory functional constipation undergoing Jinling procedure(modified Duhamel surgery).Methods:In this prospective randomized controlled trial,80 patients with refractory functional constipation scheduled for Jinling procedure at the Department of General Surgery,the General Hospital of Eastern Theater Command between January 2020 and December 2021 were enrolled.Participants were randomly assigned to either the observation group(n=40,multimodal prehabilitation)or control group(n=40,routine nursing care).Outcome measures included:time to first flatus,time to first ambulation,defecation volume on postoperative day 5,length of hospitalization,nutritional markers(hemoglobin,albumin,total protein at postoperative day 7),anxiety/depression scores(Hospital Anxiety and Depression Scale,HADS),and total complication rates.Results:Compared to controls,the first ventilation time(48.02±6.15)h,first ambulation time(49.92±5.58)h,defecation volume on the fifth day(234.50±51.03)mL,hospital stay(13.15±2.64)d,anxiety score(43.68±3.45)points,depression score(43.81±1.58)points,and the total incidence of postoperative complications(15%)were significantly lower in the observation group(all p values<0.05).By contrast,the serum levels of hemoglobin(115.60±11.60)g/l,albumin(41.19±5.79)g/L and total protein(61.64±4.94)g/L on day 7 post-operatively were significantly higher in the observation group than those in the control group(P<0.05).Conclusions:Multimodal prehabilitation enhances postoperative intestinal recovery,reduces complications,improves nutritional status,and shortens hospital stays in refractory functional constipation patients undergoing Jinling procedure,supporting its clinical adoption.
