基于加速术后康复的胸外科手术预康复管理专家共识(2022)  

Expert Consensus on Prehabilitation Management for Enhanced Recovery in Patients Undergoing Thoracic Surgery (2022)

作　　者：刘子嘉[1] 张路[2] 刘洪生[3] 仓静 王天龙[5] 闵苏[6] 陈丽霞 陈伟[7] 李单青 黄宇光[1] 中华医学会麻醉学分会“胸外科手术预康复管理专家共识”工作小组 LIU Zijia;ZHANG Lu;LIU Hongsheng;CANG Jing;WANG Tianlong;MIN Su;CHEN Lixia;CHEN Wei;LI Shanqing;HUANG Yuguang;Working Group of“Expert Consensus on Prehabilitation Management of Thoracic Surgery”,Chinese Society of Anesthesiology(Department of Anesthesiology,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100730,China;Department of Physical Medicine&Rehabilitation,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100730,China;Department of Thoracic Surgery,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100730,China;Department of Anesthesiology,Zhongshan Hospital,Fudan University,Shanghai 200032,China;Department of Anesthesiology and Operating Theater,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Anesthesiology,the First Affiliated Hospital,Chongqing Medical University,Chongqing 400016,China;Department of Clinical Nutrition,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100730,China;不详)

机构地区：[1]中国医学科学院北京协和医院麻醉科,北京100730 [2]中国医学科学院北京协和医院康复医学科,北京100730 [3]中国医学科学院北京协和医院胸外科,北京100730 [4]复旦大学附属中山医院麻醉科,上海200032 [5]首都医科大学宣武医院麻醉手术科,北京100053 [6]重庆医科大学附属第一医院麻醉科,重庆400016 [7]中国医学科学院北京协和医院临床营养科,北京100730 [8]不详

出　　处：《协和医学杂志》2022年第3期387-401,共15页Medical Journal of Peking Union Medical College Hospital

基　　金：中国医学科学院中央级公益性科研院所基本科研业务费临床与转化医学研究基金(2019XK320023)。

摘　　要：预康复管理是加速术后康复的重要内容和启动环节。胸外科手术前多模式预康复可提高患者的围术期功能状态、改善手术预后的临床意义已得到广泛认可。但胸外科预康复的具体实施流程与内容尚缺乏指导规范,临床应用中也存在一定困惑。《基于加速术后康复的胸外科手术预康复管理专家共识(2022)》基于循证医学证据及多次专家讨论结果,在胸外科预康复适用范围、推荐应用时间、预康复前综合评估、具体实施内容及管理流程5个方面达成了初步共识,将为临床工作提供有益指导。Prehabilitation is the important starting part of enhanced recovery after surgery(ERAS). Multimodal prehabilitation management before thoracic surgery can increase the perioperative functional capacity of patients and help to improve the prognosis, which has been widely recognized. However, there are no guide-lines or standards of specific contents and implementation process of thoracic prehabilitation, causing some confusion in clinical practice. Expert Consensus on Prehabilitation Management for Enhanced Recovery in Patients undergoing Thoracic Surgery(2022)helps to provide a feasible guideline for clinical prehabilitaion practice, which was based on evidence-based medicine and experts’ discussion to reach a preliminary consensus on five aspects of prehabilitation in thoracic surgery, including the indication, recommended duration, comprehensive evaluation before prehabilitation, specific practice contents, and management process.

关 键 词：预康复 加速术后康复 胸外科手术 专家共识 

分 类 号：R614[医药卫生—麻醉学] R655[医药卫生—外科学]