Department of Sport, Exercise and Rehabilitation, Northumbria University, Newcastle-upon-Tyne, UK.
Department of Anaesthesia, James Cook University Hospital, Middlesbrough, UK.
Anaesthesia. 2018 Jun;73(6):750-768. doi: 10.1111/anae.14177. Epub 2018 Jan 13.
Despite calls for the routine implementation of pre-operative exercise programmes to optimise patient fitness before elective major surgery, there is no practical guidance for providing safe and effective exercise in this specific context. The following clinical guideline was developed following a review of the evidence on the effects of pre-operative exercise interventions. We developed a series of best-practice and, where possible, evidence-based statements to advise on patient care with respect to exercise training in the peri-operative period. These statements cover: patient selection for exercise training in surgical patients; integration of exercise training into multi-modal prehabilitation programmes; and advice on exercise prescription factors and follow-up. Although we acknowledge that further research is needed to identify the optimal exercise prescription in different clinical scenarios, we urge peri-operative teams to make use of these recommendations.
尽管有人呼吁常规实施术前运动方案，以优化择期大手术患者的体能，但在这一特定情况下，提供安全有效的运动方案尚无实际指导。本临床指南是在对术前运动干预效果的证据进行审查后制定的。我们制定了一系列最佳实践和（在可能的情况下）基于证据的陈述，就围手术期运动训练方面的患者护理提供建议。这些陈述涵盖：对接受手术的患者进行运动训练的选择；将运动训练融入多模式康复计划；以及关于运动方案因素和随访的建议。虽然我们承认需要进一步研究以确定不同临床情况下的最佳运动方案，但我们敦促围手术期团队利用这些建议。
