加速康复外科理念下肾移植围术期功能锻炼的研究进展

Research progress of perioperative exercise in renal transplantation under enhanced recovery after surgery

加速康复外科理念中围术期功能锻炼策略可以提高患者术前机体和心肺功能,降低术后并发症,达到加速康复的目的。肾移植是终末期肾病最为有效的治疗方法,随着加速康复外科在肾移植围术期的应用,越来越多的证据发现围术期功能锻炼可以改善患者脆弱状态,降低术后心血管、肺部及深静脉血栓等并发症,提高患者移植肾功能,促进机体恢复、睡眠和生活质量。

Perioperative exercise of enhanced recovery after surgery has known to improve physical function and cardiorespiratory fitness before operation,which is also associated with reduced postoperative complications.Renal transplantation is the treatment of best choice for patients with end-stage renal disease.Relatively many data are available for perioperative exercise in renal transplant recipients.It could improve pre-operative functional statue,perioperative outcomes,quality of sleep and life.