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"老年肺癌全周期康复评估与治疗"康复与呼吸专家共识

贾杰 房圆 姚黎清 朱一平 朱杰 钱佳煜 陈欣 何竟 董安琴 丁毅鹏 廖维靖 郑洁皎 余滨宾 陈作兵

康复学报2025,Vol.35Issue(1):11-21,11.
康复学报2025,Vol.35Issue(1):11-21,11.DOI:10.3724/SP.J.1329.2025.01002

"老年肺癌全周期康复评估与治疗"康复与呼吸专家共识

Rehabilitation and Respiratory Expert Consensus on Full-Cycle Rehabilitation Assessment and Treatment for Older Adults with Lung Cancer

贾杰 1房圆 2姚黎清 3朱一平 4朱杰 1钱佳煜 5陈欣 6何竟 7董安琴 8丁毅鹏 9廖维靖 10郑洁皎 11余滨宾 12陈作兵13

作者信息

  • 1. 复旦大学附属华山医院,上海 200040||国家老年疾病临床医学研究中心(华山),上海 200040
  • 2. 上海市精神卫生中心,上海 200030
  • 3. 昆明医科大学第二附属医院,云南 昆明 650101
  • 4. 陕西省康复医院,陕西 西安 710065
  • 5. 复旦大学护理学院,上海 200032
  • 6. 中日友好医院,北京 100029
  • 7. 四川大学华西医院,四川 成都 610041
  • 8. 郑州大学第五附属医院,河南 郑州 450052
  • 9. 海南省人民医院,海南 海口 570311
  • 10. 武汉大学中南医院,湖北 武汉 430071
  • 11. 复旦大学附属华东医院,上海 200040
  • 12. 江苏省人民医院,江苏 南京 210029
  • 13. 浙江大学医学院附属第一医院,浙江 杭州 310003
  • 折叠

摘要

Abstract

Lung cancer in the elderly is the leading cause of cancer-related deaths worldwide,posing significant challenges to public health.This consensus systematically reviews relevant clinical guidelines and literature both domestically and internationally research findings.It summarizes new clinical rehabilitation concepts from experts in rehabilitation medicine,respiratory medicine,and nursing regarding lung cancer in the elderly.The consensus provides detailed discussions on the definition,risk factors,classifi-cation,staging,and clinical characteristics of lung cancer in the elderly,with a focus on functional impairments and their rehabilita-tion assessment and treatment strategies.Functional impairments encompass multiple aspects,including pulmonary function,cardiac function,exercise capacity,pain,mental and psychological issues,cognition,speech,swallowing,sensory functions,and bowel and bladder dysfunctions.The consensus offers comprehensive academic guidance and clinical practice recommendations for rehabilita-tion professionals across various healthcare settings.It emphasizes that the full-cycle rehabilitation of lung cancer in the elderly re-quires multidisciplinary teamwork to ensure seamless integration of clinical care,rehabilitation,and nursing,maximizing patient functional recovery and quality of life.A comprehensive assessment of the patients'overall conditions and development of personali-zed rehabilitation treatment plans can effectively improve functional impairments,alleviate symptoms,and even prolong the survival time.Additionally,the consensus outlines the service process for full-cycle rehabilitation of lung cancer,highlighting the intercon-nections of tertiary hospitals,secondary hospitals,community hospitals,and families,as well as the importance of adjusting rehabili-tation models based on local circumstances.The promotion and implementation of this consensus aim to provide standardized gui-dance for the assessment and treatment of full-cycle rehabilitation in elderly patients with lung cancer,with the expectation of im-proving rehabilitation outcomes and quality of life,thereby contributing to the development of geriatric lung cancer rehabilitation in China.

关键词

老年肺癌/全周期康复/功能障碍/康复评定/康复治疗

Key words

lung cancer in the elderly/full-cycle rehabilitation/functional impairments/rehabilitation assessment/rehabilita-tion treatment

引用本文复制引用

贾杰,房圆,姚黎清,朱一平,朱杰,钱佳煜,陈欣,何竟,董安琴,丁毅鹏,廖维靖,郑洁皎,余滨宾,陈作兵.."老年肺癌全周期康复评估与治疗"康复与呼吸专家共识[J].康复学报,2025,35(1):11-21,11.

基金项目

国家重点研发计划项目(2018YFC2002300) (2018YFC2002300)

康复学报

2096-0328

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