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首页> 外文期刊>Acta oncologica. >Promoting a culture of prehabilitation for the surgical cancer patient
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Promoting a culture of prehabilitation for the surgical cancer patient

机译：促进手术癌症患者的杂交文化

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Background: Traditional rehabilitative approaches to perioperative cancer care have focused on the postoperative period to facilitate the return to presurgical baseline conditions. However, there is some realization that the preoperative period can be a very effective time for intervention as the patients are more amenable to target their physiological condition to prepare to overcome the metabolic cost of the surgical stress.Methods: We undertook a narrative review of the current literature on surgical prehabilitation and discussed the current evidence of preoperative interventions before cancer surgery in order to increase physiological reserve before surgery and accelerate postoperative recovery.Results: Published data indicate the positive impact of prehabilitation on postoperative functional capacity and return to daily activities. However, the current evidence on the impact on short- and long-term clinical outcome is limited, and more research needs to be conducted.Conclusion: Preliminary findings indicate that a group of interventions such as exercise, nutrition and anxiety reduction in the preoperative period can complement the enhanced recovery program and facilitate the return to baseline activities of daily living. It is not clear at this stage whether the preoperative increase in functional capacity mitigates the burden of postoperative morbidities and subsequent cancer therapies. Therefore, more research is warranted.
机译：背景：围手术期癌症护理的传统康复方法集中于术后期限，以促进返回前的基线条件。然而，有一些认识到，术前期可以是介入的非常有效的时间，因为患者更令人发指以靶向其生理条件以准备克服外科应力的代谢成本。方法：我们对此进行了叙述审查目前关于手术验证的文献，并讨论了癌症手术前术前干预的目前的证据，以便在手术前增加生理储备，加速术后恢复。结果：公布数据表明效率对术后功能能力的积极影响，并返回日常活动。但是，目前关于对短期和长期临床结果的影响有限的证据是有限的，并且需要进行更多的研究。结论：初步调查结果表明，一组干预措施，例如术前期间的运动，营养和焦虑减少可以补充增强的恢复计划，并促进返回日常生活的基准活动。目前尚不清楚功能能力的术前增加是否会降低术后病理和随后的癌症疗法的负担。因此，需要更多的研究。

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