[康复,为腹部手术做好充分准备]。

Vera van der Zanden, Tanja Argillander, Barbara C van Munster
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引用次数: 0

摘要

老年体弱患者术后并发症的风险增加,导致功能丧失、依赖性、生活质量下降和死亡率。可能,预适应可以改善术后结果。本临床课程的目的是提出目前的证据,在腹部手术的康复,特别关注老年人群。对于老年患者,康复似乎是可以接受和可行的。尤其是多维的康复项目似乎很有希望。此外,量身定制的锻炼计划已被证明对术后并发症有积极影响。然而,这些都还没有得到最终的证实。需要更多的研究来评估康复对虚弱外科人群的影响。
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[Prehabilitation, Well Prepared for Abdominal Surgery].

Older, frail patients have an increased risk of post-operative complications resulting in loss of function, dependency, reduced quality of life and mortality. Possibly, prehabilitation can improve postoperative outcomes. The aim of this clinical lesson was to present the current evidence for prehabilitation in abdominal surgery with a specific focus on the geriatric population. Prehabilitation seems to be acceptable and feasible for older patients. Especially multidimensional prehabilitation programs seem promising. Moreover, tailor-made exercise programs have been shown to have a positive effect on postoperative complications. However, none of this has yet been conclusively proven. More studies are needed to evaluate the effect of prehabilitation in the frail surgical population.

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