[1]廖芳 张米莉 吴民俊 罗勇.心脏外科手术患者术前预康复的研究进展[J].心血管病学进展,2025,(2):114.[doi:10.16806/j.cnki.issn.1004-3934.2025.02.005]
 LIAO Fang,ZHANG Mili,WU Mingjun,et al.Research Progress on Preoperative Pre-Rehabilitation of Patients Undergoing Cardiac Surgery[J].Advances in Cardiovascular Diseases,2025,(2):114.[doi:10.16806/j.cnki.issn.1004-3934.2025.02.005]
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心脏外科手术患者术前预康复的研究进展()
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《心血管病学进展》[ISSN:51-1187/R/CN:1004-3934]

卷:
期数:
2025年2期
页码:
114
栏目:
综述
出版日期:
2025-02-25

文章信息/Info

Title:
Research Progress on Preoperative Pre-Rehabilitation of Patients Undergoing Cardiac Surgery
作者:
廖芳 张米莉 吴民俊 罗勇
(成都市第三人民医院心脏大血管外科,四川 成都 610031)
Author(s):
LIAO FangZHANG MiliWU MingjunLUO Yong
(Department of Cardiovascular SurgeryThe Third People’s Hospital of ChengduChengdu 610031SichuanChina)
关键词:
预康复术前管理心脏外科手术
Keywords:
Preventive rehabilitationPreoperative managementCardiac surgery
DOI:
10.16806/j.cnki.issn.1004-3934.2025.02.005
摘要:
预康复是在加速康复外科基础上提出的术前管理新理念,在手术前对患者进行身体、心理以及营养方面的综合干预,改善患者的术前状态,降低手术风险,加快术后恢复。目前已在国外及中国台湾地区的多个学科开展,但在心血管疾病外科领域研究较少。现综述预康复在心脏外科手术患者中实施的必要性、主要内容以及预康复在心血管领域推广的影响因素等,以期为中国医护人员通过开展预康复来改善心脏外科手术患者的预后提供理论依据。
Abstract:
Pre-rehabilitation is a new concept of preoperative management based on accelerated recovery surgery,which provides comprehensive physical,psychological and nutritional intervention to patients before surgery,so as to improve the preoperative state of patients,reduce surgical risks,and speed up postoperative recovery. At present,it has been carried out in many disciplines abroad and in Taiwan,China,but there are few studies in the field of cardiovascular disease surgery. This article reviews the necessity and main contents of prerehabilitation in cardiac surgery patients,and the influencing factors of prerehabilitation in the cardiovascular field,in order to provide a theoretical basis for medical staff in China to improve the prognosis of cardiac surgery patients through prerehabilitation.

参考文献/References:

[1]《中国心血管健康与疾病报告2020》编写组. 《中国心血管健康与疾病报告2020》概述[J]. 中国心血管病研究,2021,19(7):582-590.

[2]中国生物医学工程学会体外循环分会,赵举,黑飞龙,等. 2021年中国心外科手术和体外循环数据白皮书[J]. 中国体外循环杂志,2022,20(4):196-199.

[3]张媛媛. 中老年心脏外科手术患者术前身体活动能力与近期预后的相关性研究[D]. 天津:天津医科大学,2021.

[4]Britton-Jones CA. Prehabilitation[J]. Br J Hosp Med (Lond),2017,78(12):729.

[5]顾海燕,宣沁,王婷婷,等. 院前预康复在老年腰椎后路长节段手术患者中的应用[J]. 中国护理管理,2023,23(1):57-62.

[6]López-G0dríguez-Arias F,Sáncez-Guillén L,Aranaz-Ostáriz V,et al. Effect of home-based prehabilitation in an enhanced recovery after surgery program for patients undergoing colorectal cancer surgery during the COVID-19 pandemic[J]. Support Care Cancer,2021,29(12):7785-7791.

[7]Barberan-Garcia A,Ubré M,Roca J,et al. Personalised prehabilitation in high-risk patients undergoing elective major abdominal surgery:a randomized blinded controlled trial[J]. Ann Sur,2018,267(1):50-56.

[8]江雪艳,姜兆磊,袁源,等. 心脏及大血管外科术后并发急性肺损伤的多因素分析[J]. 中国心血管病研究,2021,19(9):840-842.

[9]Correa-Rodríguez M,Abu Ejheisheh M,Suleiman-Martos N,et al. Prevalence of depression in coronary artery bypass surgery:a systematic review and meta-analysis[J]. J Clin Med,2020,9(4):909.

[10]王利平,李勇男,卢晓峰,等. 成人心脏手术患者合并焦虑和抑郁的研究进展[J]. 中国胸心血管外科临床杂志,2020,27(5):574-578.

[11]Chen LY,Wu YH,Liu LK,et al. Association among serum insulin-like growth factor-1,frailty,muscle mass,bone mineral density,and physical performance among community-dwelling middle-aged and older adults in Taiwan[J]. Rejuvenation Res,2018,21(3):270-277.

[12]Bottura C,Arcêncio L,Chagas HMA,et al. Frailty among non-elderly patients undergoing cardiac surgery[J]. Arq Bras Cardiol,2020,115(4):604-610.

[13]庄新梅,彭晓红,王娟,等. 老年心脏手术患者衰弱的现状及衰弱预测模型的构建[J]. 中国实用护理杂志,2021,37(9):655-661.

[14]Miguelena-Hycka J,Lopez-Menendez J,Prada PC,et al. Changes in frailty status after cardiac surgery. A prospective cohort study[J]. Arch Gerontol Geriatr,2022,98:104568.

[15]B?ck C,Hornum M,Jorgensen MB,et al. One-year mortality increases four-fold in frail patients undergoing cardiac surgery[J]. Eur J Cardiothorac Surg,2021,59(1):192-198.

[16]查慧贤,刘扣英,王晨,等. 稳定期慢性阻塞性肺疾病病人运动康复的最佳证据总结[J]. 护理研究,2021,35(22):3985-3990.

[17]Peeler A,Moser C,Gleason KT,et al. Frailty as a predictor of postoperative outcomes in invasive cardiac surgery:a systematic review of literature[J]. J Cardiovasc Nurs,2022,37(3):231-247.

[18]王文兰,黎月英,冯锦屏,等.住院患者跌倒风险评估量表的修订与信度、效度检验[J].中国护理管理,2014,14(9):922-926.

[19]《运动处方中国专家共识(2023)》专家组. 运动处方中国专家共识(2023)[J]. 中国运动医学杂志,2023,42(1):3-13.

[20]刘子嘉,张路,刘洪生,等. 基于加速术后康复的胸外科手术预康复管理专家共识(2022)[J]. 协和医学杂志,2022,13(3):387-401.

[21]段俊滔,刘聪颖,于桂香,等. 吸气肌训练对经皮冠状动脉介入治疗术后患者的影响研究[J]. 中华护理杂志,2020,55(4):519-523.

[22]Hermes BM,Cardoso DM,Gome TJ,et al.Short-term inspiratory muscle training potentiates the benefits of aerobic and resistance training in patients undergoing CABG in phase Ⅱ cardiac rehabilitation program[J]. Rev Bras Cir Cardiovasc,2015,30(4):474-481.

[23]Hartog J,Blokzijl F,Dijkstra S,et al. Heart rehabilitation in patients awaiting open heart surgery targeting to prevent complications and to improve quality of life(Heart-ROCQ):study protocol for a Prospective,Randomised,Open,Blinded Endpoint(PROBE) trial. [J]. BMJ Open,2019,9(9):e031738.

[24]Zheng P,Ou Y,Liu H,et al. Summary of the best evidence for preoperative pre-rehabilitation in patients with lung cancer complicated with COPD[J]. Open J Nurs,2023,13(9):601-614.

[25]李瑞冰,郭立新,郭宇,等. 营养风险筛查在冠状动脉旁路移植术患者中的应用[J]. 中国临床研究,2020,33(03):384-386.

[26]陈明剑,陈亮,王立清. 心脏外科围术期营养筛查与营养治疗策略研究进展[J]. 中国循环杂志,2022,37(3):306-311.

[27]Lai X,Zhu H,Du H,et al. Nutritional status of Chinese oldest-old adults(≥80 years of age):a cross-sectional study in Beijing[J]. Eur J Clin Nutr,2021,75(7):1040-1046.

[28]Jain SR,Kandarpa VL,Yaow CYL,et al. The role and effect of multimodal prehabilitation before major abdominal surgery:a systemic review and meta-analysis[J]. World journal of surgery,2023,47(1):86-102.

[29]曹晖,陈亚进,顾小萍,等. 中国加速康复外科临床实践指南(2021版)[J]. 中国实用外科杂志,2021,41(9):961-992.

[30]Weimann A,Braga M,Carli F,et al. ESPEN practical guideline:clinical nutrition in surgery[J]. Clin Nutr,2021,40(7):4745-4761.

[31]Wischmeyer PE,Carli F,Evans DC,et al. American Society For Enhanced Recovery And Perioperative Quality initiative joint consensus statement on nutrition screening and therapy within a surgical enhanced recovery pathway[J]. Anesth Analg,2018,126(6):1883-1895.

[32]郭艳慧. 心脏手术患者围手术期口服营养补充与临床结局的关系[D]. 石家庄:河北医科大学,2019.

[33]Li Q,Wang Y,Jin T,et al. Effect of trimodal pre-rehabilitation on the rehabilitation of patients with gastrointestinal tumors in the perioperative period[J]. Am J Transl Res,2022,14(2):967-978.

[34]Takagi H,Ando T,Umemoto T. Perioperative depression or anxiety and postoperative mortality in cardiac surgery:a systematic review and meta-analysis[J].?Heart Vessels,2017,32(12):1458-1468.

[35]Marmelo F,Rocha V,Moreira-Gon?alves D. The impact of prehabilitation on post-surgical complications in patients undergoing non-urgent cardiovascular surgical intervention:systematic review and meta-analysis[J]. Eur J Prev Cardiol,2018,25(4):404-417.

[36]王敏,连露洁,童秋琴. 基于运动疗法的预康复护理对风湿性心脏病瓣膜置换术患者术后心功能及护理效果的影响 [J]. 心血管病防治知识,2023,13(36):40-42,46.

[37]Shukla A,Granger CL,Wright GM,et al. Attitudes and perceptions to prehabilitation in lung cancer[J]. Integr Cancer Ther,2020,19:1534735420924466.

[38]Naccarella L,Biuso C,Jennings A,et al. Improving access to important recovery information for heart patients with low health literacy:reflections on practice-based initiatives[J]. Aust Health Rev,2019,43(3):323-327.

更新日期/Last Update: 2025-03-11