切除肝脏的预康复计划:一个叙事审查
En Qi Toh1, Hoi Pong Nicholas Wong1, Jia Dong James Wang1
1Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.
Chinese clinical oncology
|February 19, 2024
概括
在切除肝脏 (LR) 之前的预康复改善了患者的治疗结果,并减少了并发症. 本综述综合了关于预康复策略的证据,以指导临床实践以改善手术恢复.
科学领域:
- 手术瘤学手术瘤学
- 在外科手术期间的医学.
- 康复医学 康复医学 康复医学
背景情况:
- 肝切除 (LR) 对于治疗肝脏疾病至关重要,但存在并发症和延长恢复的风险.
- 预康复是一种新兴的策略,可以在LR之前在身体和心理上优化患者.
- 本综述综合了LR中预康复的当前证据,以告知临床管理.
研究的目的:
- 探索和综合现有的关于肝切除前康复的文献.
- 提供当前证据的概述,以指导医生在患者管理中.
- 突出预康复对改善术后结果的好处.
主要方法:
- 在多个电子数据库中进行了全面的文献搜索.
- 搜索涵盖了从开始到2023年7月的研究.
- 该战略的重点是确定关于预康复的作用和LR的贡献因素的研究.
主要成果:
- 康复前计划是多方面的,涉及身体健康,营养支持和心理健康.
- 关键组成部分包括强烈的体力炼,营养补充和心理治疗,如音乐治疗.
- 此外,还在探索诸如流体平衡优化和特定补充等创新方法.
结论:
- 预康复对于优化接受肝切除的患者至关重要,显著改善术后结果.
- 存在各种预康复策略,证明了患者康复的潜在好处.
- 目前,关于患者选择和理想的预康复计划设计的正式共识尚不存在.
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