预康复理念在食管癌手术患者中的应用进展

Application progress of pre-rehabilitation concept in patients undergoing esophageal cancer surgery

预康复作为加速康复外科(ERAS)术前干预策略之一,是优化ERAS临床实践成果的基础,能增加择期手术患者的术前机体功能储备,减少手术产生的应激源对机体的刺激,从而促进患者术后康复。预康复理念被提出至今,已应用于各外科领域,本文就预康复理念在食管癌手术患者中的应用现状、干预措施及存在问题进行综述。

Pre-rehabilitation,as one of the preoperative intervention strategies of accelerated rehabilitation surgery(ERAS),is the basis of opti-mizing the clinical practice of ERAS,which can increase the preoperative functional reserve of patients undergoing elective surgery,reduce the stimu-lation of stressors generated by surgery,and thus promote the postoperative rehabilitation of patients.The concept of pre-rehabilitation has been put forward so far and has been applied in various surgical fields.This article reviews the application status,intervention measures and existing problems of the concept of pre-rehabilitation in patients undergoing esophageal cancer surgery.