肝移植受者术前预康复的干预策略及临床应用

Preoperative prehabilitation strategies and clinical application in liver transplant recipients

  • 摘要: 肝移植作为终末期肝病最有效的治疗手段,可有效延长患者生存时间。但患者在接受肝移植手术前后,其生理及心理状况通常不佳,从而影响预后,降低生存质量。而术前预康复通过运动、营养、心理等的干预模式,可改善患者术前机能储备、缓解围手术期应激反应、减少术后感染风险,有益于肝移植术后康复。因此,本文就肝移植受者术前预康复的时机及场所、预康复对肝移植受者的必要性、肝移植受者术前预康复的干预模式等最新研究进展进行综述,旨在深化临床对肝移植受者术前预康复的认识和应用,以期为肝移植受者术前预康复提供理论与实践依据,从而改善肝移植预后。

     

    Abstract: Liver transplantation is the most effective treatment for end-stage liver disease and can significantly prolong patient survival. However, patients usually have poor physiological and psychological conditions before and after undergoing liver transplantation surgery, which affects prognosis and reduces quality of life. Preoperative prerehabilitation, through intervention modes such as exercise, nutrition and psychology, can improve patients' preoperative functional reserve, alleviate perioperative stress reactions, reduce postoperative infection risks and be beneficial for postoperative recovery after liver transplantation. Therefore, this article reviews the latest research progress on the timing and location of prerehabilitation, the necessity of pre rehabilitation and intervention models for preoperative prerehabilitation of liver transplant patients. The aim is to deepen the understanding and application of preoperative prerehabilitation for liver transplant patients in clinical practice, in order to provide theoretical and practical basis for preoperative prerehabilitation of liver transplant patients and improve their prognosis.

     

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