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<article xsi:noNamespaceSchemaLocation="http://jats.nlm.nih.gov/publishing/1.1/xsd/JATS-journalpublishing1-mathml3.xsd" dtd-version="1.1" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"><front><journal-meta><journal-id journal-id-type="publisher-id">MRP</journal-id><journal-title-group><journal-title>Medical Research and Practice</journal-title></journal-title-group><issn>2993-9690</issn><eissn>2993-9704</eissn><publisher><publisher-name>Art and Design</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.61369/MRP.10035</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title>预康复在胸腔镜手术患者中的应用研究进展</title><url>https://artdesignp.com/journal/MRP/2/10/10.61369/MRP.10035</url><author>李莎莎,吴志群</author><pub-date pub-type="publication-year"><year>2024</year></pub-date><volume>2</volume><issue>10</issue><history><date date-type="pub"><published-time>2024-10-20</published-time></date></history><abstract>胸腔镜手术广泛应用于肺癌等胸部疾病的治疗，具有创伤小、恢复快等优势。但术后仍可能出现肺功能下降等问题。近年来，预康复作为围手术期管理策略，通过术前的身体、营养和心理干预，旨在提高患者储备能力，改善术后恢复。本文旨在对预康复的基本概念加以阐述，并深入探讨胸腔镜手术患者应用预康复的具体实施方案以及当前国内外的应用情形，期望能为胸腔镜手术术前预康复于临床中的实际开展给予有益的借鉴与参考。</abstract><keywords>胸腔镜,术前,预康复</keywords></article-meta></front><body/><back><ref-list><ref id="B1" content-type="article"><label>1</label><element-citation publication-type="journal"><p>[1] 魏强，王允，张含露，权亚梅．全胸腔镜手术治疗对肺癌合并慢性阻塞性肺疾病患者预后的影响分析［J］．实用心脑肺血管病杂志．2019;27(S2):14-6.[2] 刘子嘉， 黄宇光．&amp;ldquo; 三联预康复&amp;rdquo;:ERAS的术前优化［J］． 医学与哲学(B).2017;38(06):12-4.[3] Topp R, Ditmyer M, King K, Doherty K, Hornyak J. The effect of bed rest and potential of prehabilitation on patients in the intensive care unit［J］．AACN Clin Issues. 2002;13(2):263-76.[4] Baimas-George M, Watson M, Elhage S, Parala-Metz A, Vrochides D, Davis BR. Prehabilitation in Frail Surgical Patients: A Systematic Review［J］．World J Surg. 2020;44(11):3668-78.[5] Liu Z, Qiu T, Pei L, Zhang Y, Xu L, Cui Y, et al. Two-Week Multimodal Prehabilitation Program Improves Perioperative Functional Capability in Patients Undergoing Thoracoscopic Lobectomy for Lung Cancer: A Randomized Controlled Trial［J］．Anesth Analg. 2020;131(3):840-9.[6] 赖玉田，苏建华，杨梅，周坤，车国卫．术前短期综合肺康复训练对肺癌合并轻中度慢性阻塞性肺病患者的影响：一项前瞻性随机对照试验 中国肺癌杂志［J］．中国肺癌杂志2016;19(11):746-53.[7] 吴艳，王秀娟，康晓艳，常海霞．术前康复训练对胸腔镜治疗早期非小细胞肺癌患者心肺功能的影响［J］．临床肺科杂志．2018;23(07):1217-21.[8] Benzo R, Wigle D, Novotny P, Wetzstein M, Nichols F, Shen RK, et al. Preoperative pulmonary rehabilitation before lung cancer resection: results from two randomized studies［J］．Lung Cancer. 2011;74(3):441-5.[9] 刘子嘉，张路，刘洪生，仓静，王天龙，闵苏，et al. 基于加速术后康复的胸外科手术预康复管理专家共识(2022)［J］．协和医学杂志．2022;13(03):387-401.[10] 刘子嘉，张路，刘洪生，仓静，王天龙，闵苏，et al. 基于加速术后康复的胸外科手术预康复管理专家共识(2022) 协和医学杂志［J］．2022;13(03):387-401.[11] 支修益，刘伦旭．中国胸外科围手术期气道管理指南（2020版）［J］．中国胸心血管外科临床杂志．2021;28(03):251-62.[12] Sobhani A, Fadayevatan R, Sharifi F, Kamrani AA, Ejtahed HS, Hosseini RS,et al. The conceptual and practical definitions of frailty in older adults: a systematic review［J］．Journal of diabetes and metabolic disorders. 2021;20(2):1975-2013.[13] 中国加速康复外科临床实践指南(2021)( 一)［J］．协和医学杂志．2021;12(05):624-31.[14] Levett DZH, Grimmett C. Psychological factors, prehabilitation and surgical outcomes: evidence and future directions［J］．Anaesthesia. 2019;74 Suppl 1(null):36-42.[15] Mohammad H, Mohammad AI, Saba A. Sleeping pattern before thoracic surgery: A comparison of baseline and night before surgery［J］．Heliyon.2019;5(3):e01318.[16] 张方圆，焦杰，刘丽峰．肺癌患者术前预康复管理的最佳证据总结［J］．中华护理教育［J］．2024;21(07):881-7.[17] Voorn MJJ, Driessen EJM, Reinders R, van Kampen-van den Boogaart VEM, Bongers BC, Janssen-Heijnen MLG. Effects of exercise prehabilitation and/or rehabilitation on health-related quality of life and fatigue in patients with non-small cell lung cancer undergoing surgery: A systematic review［J］．Ejso.2023;49(10):106909.[18] Gillis C, Fenton TR, Sajobi TT, Minnella EM, Awasthi R, Loiselle S, et al. Trimodal prehabilitation for colorectal surgery attenuates post-surgical losses in lean body mass: A pooled analysis of randomized controlled trials［J］．Clin Nutr.2019;38(3):1053-60.[19] 邱田，刘子嘉，黄宇光．预康复在加速术后康复中的价值［J］．临床麻醉学杂志．2018;34(03):296-8.[20] 刘丽峰，沙永生，孙潇楠，王海楠．康复训练楼梯法对低肺功能肺癌患者手术耐受性的影响［J］．天津护理．2017;25(2):113-5.[21] Licker M, Karenovics W, Diaper J, Fr&amp;eacute;sard I, Triponez F, Ellenberger C, et al. Short-Term Preoperative High-Intensity Interval Training in Patients Awaiting Lung Cancer Surgery: A Randomized Controlled Trial［J］．J Thorac Oncol.2017;12(2):323-33.[22] 罗冠祥．我国肺康复护理开展现状及分析研究［D］: 广州医科大学； 2022.[23] Blazeby JM. Systematic review of outcomes used to evaluate enhanced recovery after surgery (Br J Surg 2014; 101: 159-170)［J］．Brit j surg. 2014;101(3):171.</p><pub-id pub-id-type="doi"/></element-citation></ref></ref-list></back></article>
