选择性手术干预的预康复 - - 一般和腹部外科医生必须知道什么
Carl Meißner1,2, Frank Meyer3, Karsten Ridwelski4,2
1MVZ "Im Altstadtquartier", General Surgery, Magdeburg, Germany.
Innovative surgical sciences
|December 7, 2023
概括
预康复是关键的手术前干预,可以改善患者的康复和手术结果. 这种方法涉及营养,身体和心理支持,对于改善手术前患者状态至关重要.
科学领域:
- 手术优化手术优化
- 在外科手术期间的医学.
- 患者的恢复 患者的恢复
背景情况:
- 术前的患者准备对于改善手术结果至关重要,特别是对于那些身体或心理状况不佳的人来说.
- 现有的努力旨在优化手术前的患者状况,以促进康复和减少并发症.
研究的目的:
- 为了说明预康复的概念和组成部分.
- 审查医学文献和预康复的临床经验.
- 突出预康复在一般和腹部外科手术中的应用.
主要方法:
- 选择性审查医学文献.
- 在外科实践中分析临床经验.
- 专注于高风险患者的预康复策略.
主要成果:
- 预康复的目标是营养,身体和心理措施,以改善患者在手术前的功能.
- 特别是在老年,虚弱和营养不良患者中注意到有益影响,导致住院时间缩短,并发症减少和死亡率降低.
- 预康复在癌症手术中尤其具有影响力,可以与手术后增强恢复 (ERAS) 协议相结合.
结论:
- 预康复对于选择性手术准备是不可或缺的,有助于更好的结果和ERAS.
- 它应该成为计划外科手术预科措施的强制性组成部分.
- 需要进一步开发和实施预康复策略.
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