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从加速康复外科到预康复——理念更新与临床实践模式转变

李幼生

中国实用外科杂志2024,Vol.44Issue(2):155-159,5.
中国实用外科杂志2024,Vol.44Issue(2):155-159,5.DOI:10.19538/j.cjps.issn1005-2208.2024.02.08

从加速康复外科到预康复——理念更新与临床实践模式转变

From enhanced recovery after surgery to prehabilitation:the new concepts and clinical practice

李幼生1

作者信息

  • 1. 上海交通大学医学院附属第九人民医院普通外科,上海 200011
  • 折叠

摘要

Abstract

Enhanced recovery after surgery(ERAS)results in prioritized patient safety,optimized length of hospital stay,and decreased hospital costs.ERAS protocols are mainly applied to peri-and postoperatively.However,poor functional capacity preoperatively is associated with postoperative complications and increased mortality.Increasing the functional capacity preoperatively may result in an improved recovery after surgery.Multimodal prehabilitation interventions that include exercise,nutrition,and psychosocial components can be implemented before surgery.The goal of prehabilitation complemented ERAS protocols is to empower patients,reduce the risk of postoperative morbidity,improve the rate of postoperative recovery,and ultimately,through sustained behavioral change and improved management of comorbidities,improve long-term health outcomes.

关键词

加速康复外科/预康复/衰弱/医学营养治疗

Key words

enhanced recovery after surgery/prehabilitation/frailty/medical nutrition therapy

分类

医药卫生

引用本文复制引用

李幼生..从加速康复外科到预康复——理念更新与临床实践模式转变[J].中国实用外科杂志,2024,44(2):155-159,5.

基金项目

上海市2021年度"科技创新行动计划"医学创新研究专项项目(No.21Y11902700) (No.21Y11902700)

中国实用外科杂志

OA北大核心CSTPCD

1005-2208

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