胰十二指肠切除术患者三联预康复方案的构建  

Construction of triple prerehabilitation protocol for patients undergoing pancreaticoduodenectomy

作　　者：王思涵 夏瑾[1] 王小梅[1] 吴妍霏 王梅[1] 王亚玲 陈晓雪[1] 刘辉霞 WANG Sihan;XIA Jin;WANG Xiaomei;WU Yanfei;WANG Mei;WANG Yaling;CHEN Xiaoxue;LIU Huixia(Department of Hepatobiliary Surgery,Second Affiliated Hospital of Chongqing Medical University,Chongqing 400010,China)

机构地区：[1]重庆医科大学附属第二医院肝胆外科,重庆400010

出　　处：《重庆医学》2024年第15期2339-2342,2348,共5页Chongqing Medical Journal

基　　金：重庆市科卫联合医学科研项目(2020FYYX062)。

摘　　要：目的构建胰十二指肠切除术患者三联预康复方案,为该术式术前管理提供理论依据。方法通过文献研究和小组讨论形成方案初稿,邀请专家对初稿内容进行2轮专家函询,最终形成方案终稿。结果方案初稿包括3个一级条目,9个二级条目,28个三级条目。2轮专家函询的问卷回收率均为100%,权威系数分别为0.88和0.93。2轮专家函询各条目的重要性和可行性评分均数均≥3.5分,变异系数均<0.25。最终形成方案终稿包括3个一级条目,9个二级条目,31个三级条目。结论该方案具有必要性、科学性和可行性,明确了胰十二指肠切除术术前管理的具体内容和范围。Objective To construct the triple pre-rehabilitation program for the patients undergoing pancreaticoduodenectomy to provide a theoretical basis for the preoperative management of this operation mode.Methods The raft plan was formed by the literature research and group discussion,then the experts were invited to conduct the two rounds of expert consultation,and the final draft of the plan was finally formed.Results The draft plan included the 3 first-level items,9 second-level items and 28 third-level items.The questionnaire recovery rate of the two rounds of expert correspondence was 100%,and the authority coefficients were 0.88 and 0.93,respectively.The mean importance and feasibility scores of each item in the two rounds of expert consultation were≥3.5,and the coefficient of variation was<0.25.The first draft of the final formation plan included the 3 first-level items,9 second-level items and 31 third-level items.Conclusion This program has necessity,scientificity and feasibility.Clarifying the specific contents and scope of preoperative management of this operation mode could provide a theoretical basis for medical staff to carry out pre-rehabilitation.

关 键 词：胰十二指肠切除术 三联预康复 术前康复 加速康复外科 干预方案 

分 类 号：R656[医药卫生—外科学]