马晓杰, 姚波暖, 游咏, 等. 肾移植围手术期康复治疗研究进展[J]. 器官移植, 2023, 14(3): 466-472. DOI: 10.3969/j.issn.1674-7445.2023.03.021
引用本文: 马晓杰, 姚波暖, 游咏, 等. 肾移植围手术期康复治疗研究进展[J]. 器官移植, 2023, 14(3): 466-472. DOI: 10.3969/j.issn.1674-7445.2023.03.021
Ma Xiaojie, Yao Bonuan, You Yong, et al. Research progress on perioperative rehabilitation of kidney transplantation[J]. ORGAN TRANSPLANTATION, 2023, 14(3): 466-472. DOI: 10.3969/j.issn.1674-7445.2023.03.021
Citation: Ma Xiaojie, Yao Bonuan, You Yong, et al. Research progress on perioperative rehabilitation of kidney transplantation[J]. ORGAN TRANSPLANTATION, 2023, 14(3): 466-472. DOI: 10.3969/j.issn.1674-7445.2023.03.021

肾移植围手术期康复治疗研究进展

Research progress on perioperative rehabilitation of kidney transplantation

  • 摘要: 肾移植是临床治疗终末期肾病最有效的手段,与接受透析治疗的患者相比,肾移植受者的生存率和生活质量较高,临床结局更好。但肾移植受者常存在衰弱、心肺功能下降、认知功能障碍等生理功能障碍及心理功能障碍。近年来,随着加速康复外科概念的应用,康复治疗在优化术前基线功能、减少围手术期生理及心理应激反应、降低术后并发症发生率等方面发挥着举足轻重的作用。本文就加速康复外科在肾移植中的应用进行综述,总结肾移植预康复、术后急性期康复治疗的研究进展,为肾移植围手术期康复治疗提供参考,以期改善肾移植受者的生存质量及促进肾移植技术的发展。

     

    Abstract: Kidney transplantation is the most effective treatment for end-stage renal disease in clinical practice. Compared with patients receiving dialysis, kidney transplant recipients may achieve higher survival rate and quality of life, and better clinical outcomes. However, kidney transplant recipients constantly develop physiological and psychological disorders, such as frailty, decreased cardiopulmonary function and cognitive dysfunction, etc. In recent years, with the application of the concept of enhanced recovery after surgery (ERAS), rehabilitation therapy plays a pivotal role in optimizing preoperative baseline function, mitigating perioperative physiological and psychological stress and reducing the incidence of postoperative complications. In this article, the application of ERAS in kidney transplantation was reviewed, and research progress on pre-rehabilitation before kidney transplantation and acute-stage rehabilitation after kidney transplantation was summarized, aiming to provide reference for perioperative rehabilitation of kidney transplantation, enhance the quality of life of kidney transplant recipients and accelerate the development of kidney transplantation techniques.

     

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