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Expert Consensus on Prehabilitation Management for Enhanced Recovery in Patients Undergoing Thoracic Surgery(2022)
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摘要: 预康复管理是加速术后康复的重要内容和启动环节。胸外科手术前多模式预康复可提高患者的围术期功能状态、改善手术预后的临床意义已得到广泛认可。但胸外科预康复的具体实施流程与内容尚缺乏指导规范，临床应用中也存在一定困惑。《基于加速术后康复的胸外科手术预康复管理专家共识(2022)》基于循证医学证据及多次专家讨论结果，在胸外科预康复适用范围、推荐应用时间、预康复前综合评估、具体实施内容及管理流程5个方面达成了初步共识，将为临床工作提供有益指导。Abstract: Prehabilitation is the important starting part of enhanced recovery after surgery (ERAS). Multimodal prehabilitation management before thoracic surgery can increase the perioperative functional capacity of patients and help to improve the prognosis, which has been widely recognized. However, there are no guide- lines or standards of specific contents and implementation process of thoracic prehabilitation, causing some confusion in clinical practice. Expert Consensus on Prehabilitation Management for Enhanced Recovery in Patients undergoing Thoracic Surgery (2022) helps to provide a feasible guideline for clinical prehabilitaion practice, which was based on evidence-based medicine and experts' discussion to reach a preliminary consensus on five aspects of prehabilitation in thoracic surgery, including the indication, recommended duration, comprehensive evaluation before prehabilitation, specific practice contents, and management process.
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Key words:
- prehabilitation /
- enhanced recovery after surgery /
- thoracic surgery /
- expert consensus
作者贡献：黄宇光、李单青牵头制订共识框架、终稿审核；刘子嘉负责组建专家共识工作组、查阅文献、撰写共识初稿；张路负责查阅文献、撰写共识初稿；刘洪生负责查阅文献、起草共识框架、修订共识初稿；其他成员参与讨论、投票，并负责对共识内容进行审校、补充和修订。利益冲突：共识制订工作组所有参与人员均声明不存在利益冲突共识编写组专家 (按姓氏首字母排序)仓静(复旦大学附属中山医院麻醉科)，陈伟(北京协和医院临床营养科)，陈丽霞(北京协和医院康复医学科)，黄宇光(北京协和医院麻醉科)，李单青(北京协和医院胸外科)，刘洪生(北京协和医院胸外科)，闵苏(重庆医科大学附属第一医院麻醉科)，王天龙(首都医科大学宣武医院麻醉手术科)参与共识投票专家 (按姓氏首字母排序)仓静(复旦大学附属中山医院麻醉科)，曹学照(中国医科大学附属第一医院麻醉科)，曾景阳(福建医科大学附属泉州第一医院麻醉科)，陈刚(新疆自治区人民医院麻醉科)，陈国忠(同济大学附属上海市第四人民医院麻醉科)，陈丽霞(北京协和医院康复医学科)，陈鹏(吉林大学中日联谊医院麻醉科)，陈伟(北京协和医院临床营养科)，陈向东(华中科技大学同济医学院附属协和医院麻醉科)，储勤军(郑州大学附属郑州中心医院麻醉科)，高金贵(河北医科大学第二医院麻醉科)，郭曲练(中南大学湘雅医院麻醉科)，黄文起(中山大学附属第一医院麻醉科)，黄宇光(北京协和医院麻醉科)，康军仁(北京协和医院临床营养科)，李天佐(首都医科大学附属北京世纪坛医院麻醉科)，李单青(北京协和医院胸外科)，梁鹏(四川大学华西医院麻醉科)，廖琴(中南大学湘雅三医院麻醉科)，刘洪生(北京协和医院胸外科)，刘子嘉(北京协和医院麻醉科)，栾国会(重庆市綦江区人民医院麻醉科)，罗放(华中科技大学同济医学院附属同济医院麻醉科)，律峰(重庆医科大学附属第一医院麻醉科)，马艳辉(首都医科大学宣武医院麻醉手术科)，马正良(南京大学医学院附属鼓楼医院麻醉科)，孟馥芬(新疆医科大学第三附属医院麻醉科)，孟海兵(勤联保障部队第九〇八医院麻醉科)，米卫东(解放军总医院第一医学中心麻醉科)，闵苏(重庆医科大学附属第一医院麻醉科)，聂煌(空军军医大学第一附属医院(西京医院)麻醉科)，彭勉(武汉大学中南医院麻醉科)，屈伸(宁夏医科大学总医院麻醉科)，申乐(北京协和医院麻醉科)，王东信(北京大学第一医院麻醉科)，王浩(复旦大学附属中山医院麻醉科)，王国年(哈尔滨医科大学附属肿瘤医院麻醉科)，王利利(山西医科大学第二医院麻醉科)，王天龙(首都医科大学宣武医院麻醉手术科)，王晓宁(首都医科大学附属北京世纪坛医院麻醉科)，吴浩(南京鼓楼医院麻醉科)，徐军美(中南大学湘雅二医院麻醉科)，徐亚军(复旦大学附属肿瘤医院麻醉科)，薛张纲(复旦大学附属中山医院麻醉科)，杨美蓉(上海市第一人民医院麻醉科)，叶伟光(首都医科大学宣武医院麻醉手术科)，于博(北京协和医院康复医学科)，张铁铮(北部战区总医院麻醉科)，张路(北京协和医院康复医学科)，郑观荣(胜利油田中心医院麻醉科)，周军(河南省人民医院麻醉科)执笔人: 刘子嘉，张路 -
表 1 胸外科手术患者术前肺功能风险评估分级
风险分层 ppo FEV1/ppo DLCO 建议 低风险 ppo FEV1和ppo DLCO均≥60%预测值 可行手术 中风险 ppo FEV1或ppo DLCO＜60%预测值，但均≥30%预测值 行简易运动试验(6 min步行试验、爬楼试验等) 高风险 ppo FEV1或ppo DLCO＜30%预测值 行心肺运动试验 ppo FEV1：术后预计第一秒用力呼气容积；ppo DLCO：术后预计肺一氧化碳弥散量 
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表 2 常见体力活动对应的MET值[28]
活动类别 轻度活动(＜3 MET) 中度活动(3~6 MET) 剧烈活动(＞6 MET) 步行 办公室/家中缓慢步行=2.0 步行4~5 km/h=3.3 慢跑5 km/h =7.0 慢跑 步行6.5 km/h=5.0 慢跑8 km/h =8.0 跑步 跑步9.5 km/h =10.0 家务 伏案工作=1.5 吸尘/擦地=3.0~3.5 搬重物=7.5 工作 吃饭/穿衣=2.0~2.5 耕种/整理干草=8.0 娱乐 绘画/手工/打牌=1.5 打羽毛球-休闲=4.5 篮球比赛=8.0 体育 台球=2.5 篮球-投篮=4.5 骑自行车20 km/h=8.0 钓鱼(坐)=2.5 骑自行车18 km/h=6.0 足球-休闲=7.0，比赛=10.0 跳舞=3.0~4.5 游泳(快速)=8.0~11.0 游泳(慢速)=6.0 网球单打=8.0 乒乓球=4.0 排球比赛=8.0 MET：代谢当量
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[1] Smith TW Jr, Wang X, Singer MA, et al. Enhanced recovery after surgery: A clinical review of implementation across multiple surgical subspecialties[J]. Am J Surg, 2020, 219: 530-534. doi: 10.1016/j.amjsurg.2019.11.009 [2] Kehlet H. Prehabilitation in surgery-Need for new strategies?[J]. Eur J Surg Oncol, 2021, 47: 929-930. doi: 10.1016/j.ejso.2020.11.124 [3] Gustafsson UO, Scott MJ, Hubner M, et al. Guidelines for Perioperative Care in Elective Colorectal Surgery: Enhanced Recovery After Surgery (ERASⓇ) Society Recommenda-tions: 2018[J]. World J Surg, 2019, 43: 659-695. doi: 10.1007/s00268-018-4844-y [4] Nelson G, Bakkum-Gamez J, Kalogera E, et al. Guidelines for perioperative care in gynecologic/oncology: Enhanced Recovery After Surgery (ERAS) Society recommendations-2019 update[J]. Int J Gynecol Cancer. 2019;29: 651-668. doi: 10.1136/ijgc-2019-000356 [5] 中华医学会外科学分会, 中华医学会麻醉学分会. 中国加速康复外科临床实践指南(2021)(一)[J]. 协和医学杂志, 2021, 12: 624-632. doi: 10.12290/xhyxzz.20210001 Chinese Society of Surgery, Chinese Society of Anesthesiology. Clinical Practice Guidelines for ERAS in China (2021) (Ⅰ)[J]. Xiehe Yixue Zazhi, 2021, 12: 624-632. doi: 10.12290/xhyxzz.20210001 [6] 中华医学会外科学分会, 中华医学会麻醉学分会. 中国加速康复外科临床实践指南(2021)(五)[J]. 协和医学杂志, 2021, 12: 658-665. doi: 10.12290/xhyxzz.20210005 Chinese Society of Surgery, Chinese Society of Anesthesiology. Clinical Practice Guidelines for ERAS in China (2021) (Ⅴ)[J]. Xiehe Yixue Zazhi, 2021, 12: 658-665. doi: 10.12290/xhyxzz.20210005 [7] Lai Y, Huang J, Yang M, et al. Seven-day intensive preoperative rehabilitation for elderly patients with lung cancer: a randomized controlled trial[J]. J Surg Res, 2017, 209: 30-36. doi: 10.1016/j.jss.2016.09.033 [8] Liu Z, Qiu T, Pei L, et al. Two-Week Multimodal Prehabilitation Program Improves Perioperative Functional Capability in Patients Undergoing Thoracoscopic Lobectomy for Lung Cancer: A Randomized Controlled Trial[J]. Anesth Analg, 2020, 131: 840-849. doi: 10.1213/ANE.0000000000004342 [9] Siegel RL, Miller KD, Jemal A. Cancer statistics, 2015[J]. CA Cancer J Clin, 2015, 65: 5-29. doi: 10.3322/caac.21254 [10] Schilling T, Kozian A, Senturk M, et al. Effects of volatile and intravenous anesthesia on the alveolar and systemic inflammatory response in thoracic surgical patients[J]. Anesthesiology, 2011, 115: 65-74. doi: 10.1097/ALN.0b013e318214b9de [11] Low DE, Allum W, De Manzoni G, et al. Guidelines for Perioperative Care in Esophagectomy: Enhanced Recovery After Surgery (ERASⓇ) Society Recommendations[J]. World J Surg, 2019, 43: 299-330. doi: 10.1007/s00268-018-4786-4 [12] Jordan T, Mastnak DM, Palamar N, et al. Nutritional Therapy for Patients with Esophageal Cancer[J]. Nutr Cancer, 2018, 70: 23-29. doi: 10.1080/01635581.2017.1374417 [13] Baimas-George M, Watson M, Elhage S, et al. Prehabilitation in Frail Surgical Patients: A Systematic Review[J]. World J Surg, 2020, 44: 3668-3678. doi: 10.1007/s00268-020-05658-0 [14] Dezube AR, Cooper L, Jaklitsch MT. Prehabilitation of the Thoracic Surgery Patient[J]. Thorac Surg Clin, 2020, 30: 249-258. doi: 10.1016/j.thorsurg.2020.04.004 [15] Crandall K, Maguire R, Campbell A, et al. Exercise intervention for patients surgically treated for Non-Small Cell Lung Cancer (NSCLC): a systematic review[J]. Surg Oncol, 2014, 23: 17-30. doi: 10.1016/j.suronc.2014.01.001 [16] Samson P, Patel A, Garrett T, et al. Effects of Delayed Surgical Resection on Short-Term and Long-Term Outcomes in Clinical Stage I Non-Small Cell Lung Cancer[J]. Ann Thorac Surg, 2015, 99: 1906-1912. doi: 10.1016/j.athoracsur.2015.02.022 [17] Coughlin S, Plourde M, Guidolin K, et al. Is it safe to wait? The effect of surgical wait time on survival in patients with non-small cell lung cancer[J]. Can J Surg, 2015, 58: 414-418. doi: 10.1503/cjs.007015 [18] Brunelli A, Kim AW, Berger KI, et al. Physiologic evaluation of the patient with lung cancer being considered for resectional surgery: Diagnosis and management of lung cancer, 3rd ed: American College of Chest Physicians evidence-based clinical practice guidelines[J]. Chest, 2013, 143: e166S-e190S. doi: 10.1378/chest.12-2395 [19] British Thoracic Society, Society of Cardiothoracic Surgeons of Great Britain and Ireland Working Party. BTS guidelines: guidelines on the selection of patients with lung cancer for surgery[J]. Thorax, 2001, 56: 89-108. doi: 10.1136/thorax.56.2.89 [20] Zhang R, Lee SM, Wigfield C, et al. Lung function predicts pulmonary complications regardless of the surgical approach[J]. Ann Thorac Surg, 2015, 99: 1761-1767. doi: 10.1016/j.athoracsur.2015.01.030 [21] Beckles MA, Spiro SG, Colice GL, et al. The physiologic evaluation of patients with lung cancer being considered for resectional surgery[J]. Chest, 2003, 123: 105s-114s. doi: 10.1378/chest.123.1_suppl.105S [22] Postmus PE, Kerr KM, Oudkerk M, et al. Early and locally advanced non-small-cell lung cancer (NSCLC): ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up[J]. Ann Oncol, 2017, 28: iv1-21. [23] 姜格宁, 张雷, 朱余明, 等. 肺切除手术患者术前肺功能评估肺科共识[J]. 中国胸心血管外科临床杂志, 2020, 27: 1-9. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXYX202001001.htm [24] Brunelli A, Pompili C, Salati M, et al. Preoperative maximum oxygen consumption is associated with prognosis after pulmonary resection in stage I non-small cell lung cancer[J]. Ann Thorac Surg, 2014, 98: 238-242. doi: 10.1016/j.athoracsur.2014.04.029 [25] Gillis C, Fenton TR, Gramlich L, et al. Older frail prehabilitated patients who cannot attain a 400 m 6-min walking distance before colorectal surgery suffer more postoperative complications[J]. Eur J Surg Oncol, 2021, 47: 874-881. doi: 10.1016/j.ejso.2020.09.041 [26] Nakashima Y, Saeki H, Nakanishi R, et al. Assessment of Sarcopenia as a Predictor of Poor Outcomes After Esophagectomy in Elderly Patients With Esophageal Cancer[J]. Ann Surg, 2018, 267: 1100-1104. doi: 10.1097/SLA.0000000000002252 [27] Shinohara S, Otsuki R, Kobayashi K, et al. Impact of Sarcopenia on Surgical Outcomes in Non-small Cell Lung Cancer[J]. Ann Surg Oncol, 2020, 27: 2427-2435. doi: 10.1245/s10434-020-08224-z [28] Haskell WL, Lee IM, Pate RR, et al. Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association[J]. Med Sci Sports Exerc, 2007, 39: 1423-1434. doi: 10.1249/mss.0b013e3180616b27 [29] Riedel B, Li MH, Lee CHA, et al. A simplified (modified) Duke Activity Status Index (M-DASI) to characterise functional capacity: a secondary analysis of the Measurement of Exercise Tolerance before Surgery (METS) study[J]. Br J Anaesth, 2021, 126: 181-190. doi: 10.1016/j.bja.2020.06.016 [30] Federici S, Bracalenti M, Meloni F, et al. World Health Organization disability assessment schedule 2.0: An interna-tional systematic review[J]. Disabil Rehabil, 2017, 39: 2347-2380. doi: 10.1080/09638288.2016.1223177 [31] Glynn NW, Meinhardt AJ, LaSorda KR, et al. An Optimal Self-Report Physical Activity Measure for Older Adults: Does Physical Function Matter?[J]. J Aging Phys Act, 2020, 29: 193-199. [32] Lin Y, Yu Y, Zeng J, et al. Comparing the reliability and validity of the SF-36 and SF-12 in measuring quality of life among adolescents in China: a large sample cross-sectional study[J]. Health Qual Life Outcomes, 2020, 18: 360. doi: 10.1186/s12955-020-01605-8 [33] Clegg A, Young J, Iliffe S, et al. Frailty in elderly people[J]. Lancet, 2013, 381: 752-762. doi: 10.1016/S0140-6736(12)62167-9 [34] Richards SJG, Frizelle FA, Geddes JA, et al. Frailty in surgical patients[J]. Int J Colorectal Dis, 2018, 33: 1657-1666. doi: 10.1007/s00384-018-3163-y [35] Sobhani A, Fadayevatan R, Sharifi F, et al. The conceptual and practical definitions of frailty in older adults: a systematic review[J]. J Diabetes Metab Disord, 2021, 20: 1975-2013. doi: 10.1007/s40200-021-00897-x [36] Fried LP, Tangen CM, Walston J, et al. Frailty in older adults: evidence for a phenotype[J]. J Gerontol A Biol Sci Med Sci, 2001, 56: M146-M156. doi: 10.1093/gerona/56.3.M146 [37] Nidadavolu LS, Ehrlich AL, Sieber FE, et al. Preoperative Evaluation of the Frail Patient[J]. Anesth Analg, 2020, 130: 1493-1503. doi: 10.1213/ANE.0000000000004735 [38] Minnella EM, Coca-Martinez M, Carli F. Prehabilitation: the anesthesiologist's role and what is the evidence?[J]. Curr Opin Anaesthesiol, 2020, 33: 411-416. doi: 10.1097/ACO.0000000000000854 [39] Chow WB, Rosenthal RA, Merkow RP, et al. Optimal preoperative assessment of the geriatric surgical patient: a best practices guideline from the American College of Surgeons National Surgical Quality Improvement Program and the American Geriatrics Society[J]. J Am Coll Surg, 2012, 215: 453-466. doi: 10.1016/j.jamcollsurg.2012.06.017 [40] Weimann A, Braga M, Carli F, et al. ESPEN guideline: Clinical nutrition in surgery[J]. Clin Nutr, 2017, 36: 623-650. doi: 10.1016/j.clnu.2017.02.013 [41] Levett DZH, Grimmett C. Psychological factors, prehabilitation and surgical outcomes: evidence and future directions[J]. Anaesthesia, 2019, 74: 36-42. doi: 10.1111/anae.14507 [42] Mohammad H, Mohammad AI, Saba A. Sleeping pattern before thoracic surgery: A comparison of baseline and night before surgery[J]. Heliyon, 2019, 5: e01318. doi: 10.1016/j.heliyon.2019.e01318 [43] Halle IH, Westgaard TK, Wahba A, et al. Trajectory of sleep disturbances in patients undergoing lung cancer surgery: a prospective study[J]. Interact Cardiovasc Thorac Surg, 2017, 25: 285-291. doi: 10.1093/icvts/ivx076 [44] Berger M, Schenning KJ, Brown CH, et al. Best Practices for Postoperative Brain Health: Recommendations From the Fifth International Perioperative Neurotoxicity Working Group[J]. Anesth Analg, 2018, 127: 1406-1413. doi: 10.1213/ANE.0000000000003841 [45] Tiwary N, Treggiari MM, Yanez ND, et al. Agreement Between the Mini-Cog in the Preoperative Clinic and on the Day of Surgery and Association With Postanesthesia Care Unit Delirium: A Cohort Study of Cognitive Screening in Older Adults[J]. Anesth Analg, 2021, 132: 1112-1119. doi: 10.1213/ANE.0000000000005197 [46] Meneses-Echávez JF, Loaiza-Betancur AF, Díaz-López V, et al. Prehabilitation programs for cancer patients: a systematic review of randomized controlled trials (protocol)[J]. Syst Rev, 2020, 9: 34. doi: 10.1186/s13643-020-1282-3 [47] Boudreaux AM, Simmons JW. Prehabilitation and Optimiza-tion of Modifiable Patient Risk Factors: The Importance of Effective Preoperative Evaluation to Improve Surgical Outcomes[J]. AORN J, 2019, 109: 500-507. doi: 10.1002/aorn.12646 [48] Mantziari S, Hübner M, Demartines N, et al. Impact of preoperative risk factors on morbidity after esophagectomy: is there room for improvement?[J]. World J Surg, 2014, 38: 2882-2890. doi: 10.1007/s00268-014-2686-9 [49] Balduyck B, Sardari Nia P, Cogen A, et al. The effect of smoking cessation on quality of life after lung cancer surgery[J]. Eur J Cardiothorac Surg, 2011, 40: 1432-1438. [50] Parsons A, Daley A, Begh R, et al. Influence of smoking cessation after diagnosis of early stage lung cancer on prognosis: systematic review of observational studies with meta-analysis[J]. BMJ, 2010, 340: b5569. doi: 10.1136/bmj.b5569 [51] Sørensen LT. Wound healing and infection in surgery: the pathophysiological impact of smoking, smoking cessation, and nicotine replacement therapy: a systematic review[J]. Ann Surg, 2012, 255: 1069-1079. doi: 10.1097/SLA.0b013e31824f632d [52] Nakagawa M, Tanaka H, Tsukuma H, et al. Relationship between the duration of the preoperative smoke-free period and the incidence of postoperative pulmonary complications after pulmonary surgery[J]. Chest, 2001, 120: 705-710. doi: 10.1378/chest.120.3.705 [53] Yoshida N, Baba Y, Hiyoshi Y, et al. Duration of Smoking Cessation and Postoperative Morbidity After Esophagectomy for Esophageal Cancer: How Long Should Patients Stop Smoking Before Surgery?[J]. World J Surg, 2016, 40: 142-147. doi: 10.1007/s00268-015-3236-9 [54] Mason DP, Subramanian S, Nowicki ER, et al. Impact of smoking cessation before resection of lung cancer: a Society of Thoracic Surgeons General Thoracic Surgery Database study[J]. Ann Thorac Surg, 2009, 88: 362-371. doi: 10.1016/j.athoracsur.2009.04.035 [55] Batchelor TJP, Rasburn NJ, Abdelnour-Berchtold E, et al. Guidelines for enhanced recovery after lung surgery: recommendations of the Enhanced Recovery After Surgery (ERASⓇ) Society and the European Society of Thoracic Surgeons (ESTS)[J]. Eur J Cardiothorac Surg, 2019, 55: 91-115. doi: 10.1093/ejcts/ezy301 [56] Thomsen T, Villebro N, Møller AM. Interventions for preoperative smoking cessation[J]. Cochrane Database Syst Rev, 2014 (3): CD002294. [57] Jean RA, DeLuzio MR, Kraev AI, et al. Analyzing Risk Factors for Morbidity and Mortality after Lung Resection for Lung Cancer Using the NSQIP Database[J]. J Am Coll Surg, 2016, 222: 992-1000. doi: 10.1016/j.jamcollsurg.2016.02.020 [58] Kotzé A, Harris A, Baker C, et al. British Committee for Standards in Haematology Guidelines on the Identification and Management of Pre-Operative Anaemia[J]. Br J Haematol, 2015, 171: 322-331. doi: 10.1111/bjh.13623 [59] Boshier PR, Ziff C, Adam ME, et al. Effect of perioperative blood transfusion on the long-term survival of patients undergoing esophagectomy for esophageal cancer: a systematic review and meta-analysis[J]. Dis Esophagus, 2018, 31: 1-10. [60] Luan H, Ye F, Wu L, et al. Perioperative blood transfusion adversely affects prognosis after resection of lung cancer: a systematic review and a meta-analysis[J]. BMC Surg, 2014, 14: 34. doi: 10.1186/1471-2482-14-34 [61] Tonia T, Mettler A, Robert N, et al. Erythropoietin or darbepoetin for patients with cancer[J]. Cochrane Database Syst Rev, 2012 (12): CD003407. [62] Bibo L, Goldblatt J, Merry C. Does preoperative pulmonary rehabilitation/physiotherapy improve patient outcomes following lung resection?[J]. Interact Cardiovasc Thorac Surg, 2021, 32: 933-937. doi: 10.1093/icvts/ivab011 [63] Borg GA. Psychophysical bases of perceived exertion[J]. Med Sci Sports Exerc, 1982, 14: 377-381. [64] 张良燕, 刘子嘉, 申乐, 等. 心肺运动试验在快速康复外科中的应用进展[J]. 中国医学科学院学报, 2017, 39: 831-835. doi: 10.3881/j.issn.1000-503X.2017.06.016 Zhang LY, Liu ZJ, Shen L, et al. Application of Cardiopulmonary Exercise Testing in Enhanced Recovery after Surgery[J]. Zhongguo Yixue Kexueyuan Xuebao, 2017, 39: 831-835. doi: 10.3881/j.issn.1000-503X.2017.06.016 [65] Dunham C, Harms CA. Effects of high-intensity interval training on pulmonary function[J]. Eur J Appl Physiol, 2012, 112: 3061-3068. doi: 10.1007/s00421-011-2285-5 [66] Dun Y, Smith JR, Liu S, et al. High-Intensity Interval Training in Cardiac Rehabilitation[J]. Clin Geriatr Med, 2019, 35: 469-487. doi: 10.1016/j.cger.2019.07.011 [67] Adolfo JR, Dhein W, Sbruzzi G. Intensity of physical exercise and its effect on functional capacity in COPD: systematic review and meta-analysis[J]. J Bras Pneumol, 2019, 45: e20180011. doi: 10.1590/1806-3713/e20180011 [68] Piraux E, Caty G, Reychler G. Effects of preoperative combined aerobic and resistance exercise training in cancer patients undergoing tumour resection surgery: A systematic review of randomised trials[J]. Surg Oncol, 2018, 27: 584-594. doi: 10.1016/j.suronc.2018.07.007 [69] Kendall F, Oliveira J, Peleteiro B, et al. Inspiratory muscle training is effective to reduce postoperative pulmonary complications and length of hospital stay: a systematic review and meta-analysis[J]. Disabil Rehabil, 2018, 40: 864-882. doi: 10.1080/09638288.2016.1277396 [70] Ge X, Wang W, Hou L, et al. Inspiratory muscle training is associated with decreased postoperative pulmonary complications: Evidence from randomized trials[J]. J Thorac Cardiovasc Surg, 2018, 156: 1290-1300. doi: 10.1016/j.jtcvs.2018.02.105 [71] Liu JF, Kuo NY, Fang TP, et al. A six-week inspiratory muscle training and aerobic exercise improves respiratory muscle strength and exercise capacity in lung cancer patients after video-assisted thoracoscopic surgery: A randomized controlled trial[J]. Clin Rehabil, 2021, 35: 840-850. doi: 10.1177/0269215520980138 [72] Nomori H, Horio H, Fuyuno G, et al. Respiratory muscle strength after lung resection with special reference to age and procedures of thoracotomy[J]. Eur J Cardiothorac Surg, 1996, 10: 352-358. doi: 10.1016/S1010-7940(96)80094-7 [73] Varela G, Jiménez MF, Novoa N, et al. Estimating hospital costs attributable to prolonged air leak in pulmonary lobectomy[J]. Eur J Cardiothorac Surg, 2005, 27: 329-333. doi: 10.1016/j.ejcts.2004.11.005 [74] Varela G, Novoa NM, Agostini P, et al. Chest physio-therapy in lung resection patients: state of the art[J]. Semin Thorac Cardiovasc Surg, 2011, 23: 297-306. doi: 10.1053/j.semtcvs.2011.11.001 [75] de Oliveira Vacchi C, Martha BA, Macagnan FE. Effect of inspiratory muscle training associated or not to physical rehabilitation in preoperative anatomic pulmonary resection: a systematic review and meta-analysis[J]. Support Care Cancer, 2022, 30: 1079-1092. doi: 10.1007/s00520-021-06467-4 [76] Loganathan RS, Stover DE, Shi W, et al. Prevalence of COPD in women compared to men around the time of diagnosis of primary lung cancer[J]. Chest, 2006, 129: 1305-1312. doi: 10.1378/chest.129.5.1305 [77] Riley CM, Sciurba FC. Diagnosis and Outpatient Manage-ment of Chronic Obstructive Pulmonary Disease: A Review[J]. JAMA, 2019, 321: 786-797. doi: 10.1001/jama.2019.0131 [78] 中国医师协会呼吸医师分会, 中华医学会呼吸病学分会, 中国康复医学会呼吸康复专业委员会, 等. 中国慢性呼吸道疾病呼吸康复管理指南(2021年)[J]. 中华健康管理学杂志, 2021, 15: 521-538. doi: 10.3760/cma.j.cn115624-20211011-00595 [79] Arends J, Bachmann P, Baracos V, et al. ESPEN guide-lines on nutrition in cancer patients[J]. Clin Nutr, 2017, 36: 11-48. doi: 10.1016/j.clnu.2016.07.015 [80] Bower MR, Martin RC 2nd. Nutritional management during neoadjuvant therapy for esophageal cancer[J]. J Surg Oncol, 2009, 100: 82-87. doi: 10.1002/jso.21289 [81] Nakagawa T, Toyazaki T, Chiba N, et al. Prognostic value of body mass index and change in body weight in postoperative outcomes of lung cancer surgery[J]. Interact Cardiovasc Thorac Surg, 2016, 23: 560-566. doi: 10.1093/icvts/ivw175 [82] Deutz NE, Bauer JM, Barazzoni R, et al. Protein intake and exercise for optimal muscle function with aging: recommendations from the ESPEN Expert Group[J]. Clin Nutr, 2014, 33: 929-936. doi: 10.1016/j.clnu.2014.04.007 [83] Braga M, Wischmeyer PE, Drover J, et al. Clinical evidence for pharmaconutrition in major elective surgery[J]. JPEN J Parenter Enteral Nutr, 2013, 37: 66s-72s. doi: 10.1177/0148607113494406 [84] Hansen MV, Halladin NL, Rosenberg J, et al. Melatonin for pre-and postoperative anxiety in adults[J]. Cochrane Database Syst Rev, 2015 (4): CD009861. [85] Timmerman H, de Groot JF, Hulzebos HJ, et al. Feasibility and preliminary effectiveness of preoperative therapeutic exercise in patients with cancer: a pragmatic study[J]. Physiother Theory Pract, 2011, 27: 117-124. doi: 10.3109/09593981003761509 [86] Courneya KS, Segal RJ, Reid RD, et al. Three independent factors predicted adherence in a randomized controlled trial of resistance exercise training among prostate cancer survivors[J]. J Clin Epidemiol, 2004, 57: 571-579. doi: 10.1016/j.jclinepi.2003.11.010 -
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