预康复在经导管主动脉瓣置换术患者中的应用进展

Application progress of pre-rehabilitation in patients undergoing transcatheter aortic valve replacement

预康复是一种新兴的术前管理策略,旨在通过优化干预措施降低手术应激反应,加速术后恢复,主要包括运动训练、营养支持和心理干预。针对经导管主动脉瓣置换术(transcatheter aortic valve replacement,TAVR)患者,实施预康复措施尤为重要。该文对预康复在TAVR患者中实施的必要性及主要内容进行了综述,并在此基础上提出了构建最佳的TAVR预康复干预方案、提升患者康复的依从性与参与度、重视TAVR患者的衰弱管理的建议,以期为医护人员进一步完善TAVR患者预康复管理模式提供参考。

Pre-rehabilitation is an emerging preoperative management strategy designed to mitigate surgical stress responses and expedite postoperative recovery through optimized interventions,which typically includes exercise training,nutritional support,and psychological counseling.For patients undergoing transcatheter aortic valve replacement(TAVR),the implementation of pre-rehabilitation measures is particularly crucial.This article reviews the necessity and principal components of pre-rehabilitation in TAVR patients,and offers suggestions including constructing the best pre-rehabilitation intervention program for TAVR,enhancing patient compliance and engagement in the recovery process,and paying attention to the management of frailty for TAVR patients.The aim is to provide a reference for healthcare professionals seeking to further refine the pre-rehabilitation management model for TAVR patients.