关键词: 预康复, 老年, 加速康复外科, 运动干预, 营养支持, 心理指导

Abstract: Progress and controversy in the application of prehabilitation in elderly surgical patients        XU Jing-yong, SHI Xiao-lei, WEI Jun-min. Department of General Surgery, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing 100730, China
Corresponding author: WEI Jun-min, E-mail: weijunmin@263.net
Abstract    Prehabilitation is one of the newly emerged strategies of preoperative management in the field of ERAS (enhanced recovery after surgery), which aims to increase patients’ physiological and functional reserve by function exercise, nutrition support and psychological consultation in order to improve the clinical outcomes. Elderly surgical patients have unique preoperative physiological function, nutrition and social psychology characteristics, and the incidence of perioperative adverse events is higher than that of young people. It is of great significance to implement the concept of prerehabilitation in elderly surgical patients for increasing the scope of preoperative optimization, expecting patients to face the surgical attack in the best state, and minimizing the impact of surgery on patients.

Key words: prehabilitation, elderly, enhanced recovery after surgery , exercise intervention, nutrition support, psychological consultation