Effect of preoperative exercise on patients undergoing ventriculoperitoneal shunt
10.3969/j.issn.1006-9771.2025.08.012
- VernacularTitle:术前运动对脑室-腹腔分流术患者的效果
- Author:
Xueqin LÜ
1
;
Tong ZHANG
;
Huilin LIU
;
Jianhua LIU
;
Da LI
;
Huawei WANG
Author Information
1. 首都医科大学康复医学院,北京市 100068;中国康复研究中心北京博爱医院,北京市 100068
- Publication Type:Journal Article
- Keywords:
ventriculoperitoneal shunt;
preoperative exercise;
prehabilitation
- From:
Chinese Journal of Rehabilitation Theory and Practice
2025;31(8):958-964
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the effect of preoperative exercise on consciousness,lung function and recovery efficiency of patients undergoing ventriculoperitoneal shunt.Methods A total of 54 patients undergoing elective ventriculoperitoneal shunt in Beijing Bo'ai Hospital from October,2024 to March,2025 were randomly divided into control group(n=27)and prerehabilitation group(n=27).The control group received routine preoperative treatment and nursing,while the prerehabilitation group additionally received exercise for two weeks.They were assessed with Coma Recovery Scale-Revised(CRS-R),and observed diaphragm mobility with sonography,before and three days after operation;and the time to first ambulation after surgery and length of stay in hospital were compared between two groups.Results CRS-R scores improved in both groups after operation(|t|>5.451,P<0.001),and it was greater in the prehabilitation group than in the control group(t=2.812,P<0.01).CRS-R subscale scores improved in auditory and motor functions in the control group(|Z|>2.000,P<0.05),and they were improved in auditory,visual,motor,verbal and arousal functions in the prehabilitation group(|Z|>2.282,P<0.01).CRS-R subscale scores were greater in motor and arousal in the prehabilitation group than in the control group(|Z|>2.320,P<0.05).Diaphragmatic mobility improved in the prehabilitation group(t=-7.782,P<0.001),and it was better than in the control group(t=2.044,P<0.05).The time to first ambulation after surgery and length of stay in hospital were shorter in the prehabilitation group than in the control group(|t|>3.654,P<0.01).Conclusion Preoperative exercise for patients undergoing elective ventriculoperitoneal shunt can improve the consciousness after operation,especially the level of motor and arousal,as well as the lung function,and accelerate the recovery process.
