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慢加急性肝衰竭肝移植围手术期康复评估与干预专家共识

中国医师协会器官移植医师分会移植免疫学专业委员会, 中国康复医学会器官移植康复专业委员会, 广东省医师协会器官移植医师分会. 慢加急性肝衰竭肝移植围手术期康复评估与干预专家共识[J]. 器官移植, 2022, 13(5): 543-554. doi: 10.3969/j.issn.1674-7445.2022.05.001
引用本文: 中国医师协会器官移植医师分会移植免疫学专业委员会, 中国康复医学会器官移植康复专业委员会, 广东省医师协会器官移植医师分会. 慢加急性肝衰竭肝移植围手术期康复评估与干预专家共识[J]. 器官移植, 2022, 13(5): 543-554. doi: 10.3969/j.issn.1674-7445.2022.05.001
Transplantation Immunology Committee of Branch of Organ Transplantation Physician of Chinese Medical Doctor Association, Organ Transplant Rehabilitation Committee of China Association Rehabilitation Medicine, Branch of Organ Transplantation Physician of Guangdong Medical Doctor Association. Expert consensus on liver transplantation perioperative evaluation and rehabilitation for acute-on-chronic liver failure[J]. ORGAN TRANSPLANTATION, 2022, 13(5): 543-554. doi: 10.3969/j.issn.1674-7445.2022.05.001
Citation: Transplantation Immunology Committee of Branch of Organ Transplantation Physician of Chinese Medical Doctor Association, Organ Transplant Rehabilitation Committee of China Association Rehabilitation Medicine, Branch of Organ Transplantation Physician of Guangdong Medical Doctor Association. Expert consensus on liver transplantation perioperative evaluation and rehabilitation for acute-on-chronic liver failure[J]. ORGAN TRANSPLANTATION, 2022, 13(5): 543-554. doi: 10.3969/j.issn.1674-7445.2022.05.001

慢加急性肝衰竭肝移植围手术期康复评估与干预专家共识

doi: 10.3969/j.issn.1674-7445.2022.05.001
基金项目: 

国家自然科学基金 81972286

国家自然科学基金 81770648

国家自然科学基金 81972151

广东省自然科学基金 2019A1515011106

广东省自然科学基金 2021A1515012382

广东省自然科学基金 2022A1515011919

广东省移植医学工程实验室 A04097

广东省重点领域研发项目 2019B020236003

中山大学附属第三医院五个五工程建设项目-国家级生物工程研究中心培育平台 WW201905(2021年度)

详细信息
  • 中图分类号: R617, R543

Expert consensus on liver transplantation perioperative evaluation and rehabilitation for acute-on-chronic liver failure

  • 摘要: 尽管肝移植能治愈慢加急性肝衰竭(ACLF),但ACLF患者在肝移植围手术期面临多器官系统衰竭和术后并发症风险高等问题,严重影响移植疗效。近年来,急危重症、肝病和外科领域的早期康复使得患者器官储备功能和手术耐受能力显著提升,术后生存质量也得到了显著改善,这些理念也在ACLF肝移植围手术期得到很好的实践。为此,在中国医师协会器官移植医师分会移植免疫学专业委员会、中国康复医学会器官移植康复专业委员会和广东省医师协会器官移植医师分会的共同倡导下,通过文献证据总结,结合临床最佳实践,对肝移植围手术期综合康复措施进行了广泛探讨,在心肺和躯体康复的评估、干预以及其实施安全性达成了一定共识,为肝脏内科、移植科和重症医学科临床医师提供有价值的参考。

     

  • 表  1  证据等级和推荐标准

    Table  1.   Level of evidence and recommended grades

    GRADE证据等级
    A 我们非常确信真实效应与估计效应一致
    B 我们对估计效应的确信程度一般:真实效应应该与估计效应一致,但两者仍可能大不相同
    C 我们对估计效应的确信程度较低:真实效应可能与估计效应大不相同
    极低 D 我们对估计效应的确信程度极低:真实效应很可能与估计效应相去甚远
    GRADE推荐标准
    强推荐 1 支持或反对某项干预措施的强烈推荐,利大于弊
    弱推荐 2 支持或反对某项干预措施的一般性推荐,利弊不确定
    最佳实践声明 BPS 无法采用GRADE分级,但仍强烈推荐
    注:①BPS为最佳实践声明。
    下载: 导出CSV
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出版历程
  • 收稿日期:  2022-07-18
  • 网络出版日期:  2022-09-14
  • 刊出日期:  2022-09-15

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