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中华腔镜泌尿外科杂志(电子版) ›› 2025, Vol. 19 ›› Issue (04) : 514 -520. doi: 10.3877/cma.j.issn.1674-3253.2025.04.019

所属专题： 文献；

综述

预康复在泌尿系统恶性肿瘤患者中的研究进展
李菊, 王留芳†(), 叶春伟, 刘玉芹, 和志梅   
  1. 650033　云南，昆明医科大学第二附属医院泌尿外科
  • 收稿日期:2024-08-26 出版日期:2025-08-01
  • 通信作者: 王留芳
  • 基金资助:
    国家自然科学地区基金(82060533)

Research progress of prehabilitation in patients with urological malignancies

Ju Li, Liufang Wang†(), Chunwei Ye, Yuqin Liu, Zhimei He   

  1. Department of Urology, the Second Affiliated Hospital of Kunming Medical University, Kunming 650033, China
  • Received:2024-08-26 Published:2025-08-01
  • Corresponding author: Liufang Wang
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引用本文：

李菊, 王留芳, 叶春伟, 刘玉芹, 和志梅. 预康复在泌尿系统恶性肿瘤患者中的研究进展[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2025, 19(04): 514-520.

Ju Li, Liufang Wang, Chunwei Ye, Yuqin Liu, Zhimei He. Research progress of prehabilitation in patients with urological malignancies[J/OL]. Chinese Journal of Endourology(Electronic Edition), 2025, 19(04): 514-520.

泌尿系统恶性肿瘤患者常因自身生理与心理因素，导致术前心肺功能及肌肉功能储备不足，这种储备不足会削弱其对手术应激反应的适应能力，进而影响术后康复进程。预康复作为加速康复外科（ERAS）的有益补充，强调以术前阶段为干预时机，通过采取单一或多元的干预措施，优化患者术前器官功能，提高手术创伤的耐受和适应水平，改变术后结局。本文对泌尿系统恶性肿瘤患者术前预康复实施的必要性、实施内容以及实施效果进行综述，为预康复在我国临床的进一步推广提供参考。

关键词: 预康复, 加速康复外科, 泌尿系统恶性肿瘤, 运动治疗, 营养支持, 心理护理

Patients with malignant tumors of the urinary system often exhibit insufficient preoperative cardiopulmonary function and muscle reserve due to their own physiological and psychological factors. This diminished reserve capacity weakens their adaptive response to surgical stress, thereby consequently affecting the postoperative recovery process. As a beneficial supplement of enhanced recovery after surgery(ERAS), prehabilitation emphasizes taking the preoperative stage as the intervention opportunity, and adopts single or multiple intervention measures to optimize the preoperative organ function of patients, improve the tolerance and adaptation of surgical trauma, and change the postoperative outcome. This article reviewed the necessity, contents and effects of prehabilitation in patients with urological malignancies, and provided reference for further promotion of prehabilitation in China.

Key words: Prehabilitation, Enhanced recovery after surgery, Urological malignancy, Exercise therapy, Nutrition therapy, Psychological care
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