将预康复整合到外科手术途径中:当前的方法,结果和研究差距
Eric Sosa1, Anabel Henick1, Dhanesh D Binda1
1Department of Anesthesiology, Montefiore Medical Center, Bronx, NY 10467 USA.
medRxiv : the preprint server for health sciences
|October 3, 2025
概括
预康复显著改善了手术结果. 需要进一步的研究来探索多模式策略及其在不同外科专业的应用.
科学领域:
- 医学和健康科学医学和健康科学
- 手术科学 手术科学
- 术前医学 术前医学
背景情况:
- 预康复是一种多学科的方法,在手术前优化患者的健康状况.
- 它旨在增强术后康复和长期生活质量.
- 常见的干预措施包括运动,营养,呼吸训练和心理社会支持.
研究的目的:
- 审查有关预康复策略的证据.
- 分析预康复方式对手术结果的影响.
- 识别预康复研究中的知识缺口.
主要方法:
- 使用相关关键词进行了系统的PubMed搜索.
- 包括在2017年至2025年间发表的153项研究.
- 提取了手术专业,预康复类型和结果的数据.
主要成果:
- 82%的研究报告说,随着预康复,手术结果显著改善.
- 运动和营养干预是最常见的模式.
- 大多数研究都侧重于单模预康复,特别是在整体外科.
结论:
- 预康复对手术结果产生积极影响.
- 多模式预康复策略需要进一步研究.
- 需要在各种手术学科进行更广泛的研究.
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