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中华胸部外科电子杂志 ›› 2024, Vol. 11 ›› Issue (03) : 143 -150. doi: 10.3877/cma.j.issn.2095-8773.2024.03.01

指南与共识

胸外科肺切除术后患者远程管理专家共识
唐东方1, 沈晓咏1, 张辉标1, 茅腾2, 孙益峰2, 成兴华2, 张慧君3, 殷正昕4, 奚俊杰5, 高佳妮6, 万紫微7, 胡学飞6, 罗清泉8, 陈晓峰3, 李鹤成4, 李志刚2, 陈昶6, 高文1,()   
  1. 1. 200040 上海,复旦大学附属华东医院胸外科
    2. 200030 上海,上海交通大学附属胸科医院胸外科
    3. 200040 上海,复旦大学附属华山医院胸外科
    4. 200025 上海,上海交通大学附属瑞金医院胸外科
    5. 200030 上海,复旦大学附属中山医院胸外科
    6. 200433 上海,同济大学附属肺科医院胸外科
    7. 200433 上海,同济大学附属肺科医院胸外科;765000 固原,固原市人民医院胸外科
    8. 200030 上海,上海交通大学附属胸科医院肿瘤外科,上海肺癌中心
  • 收稿日期:2024-05-11 修回日期:2024-06-04 接受日期:2024-06-25 出版日期:2024-08-28
  • 通信作者: 高文
  • 基金资助:
    科技部政府间国际科技创新合作课题(2019YFE0105600); 国家自然科学青年课题(62203117)

Expert consensus on remote management of patients after pneumonectomy in thoracic surgery

Dongfang Tang1, Xiaoyong Shen1, Huibiao Zhang1, Teng Mao2, Yifeng Sun2, Xinghua Cheng2, Huijun Zhang3, Zhengxin Yin4, Junjie Xi5, Jiani Gao6, Ziwei Wan7, Xuefei Hu6, Qingquan Luo8, Xiaofeng Chen3, Hecheng Li4, Zhigang Li2, Chang Chen6, Wen Gao1,()   

  1. 1. Department of Thoracic Surgery, Huadong Hospital Affiliated to Fudan University, Shanghai 200040, China
    2. Department of Thoracic Surgery, Chest Hospital Affiliated to Shanghai Jiao Tong University, Shanghai 200030, China
    3. Department of Thoracic Surgery, Huashan Hospital Affiliated to Fudan University, Shanghai 200040, China
    4. Department of Thoracic Surgery, Ruijin Hospital Affiliated to Shanghai Jiao Tong University School, Shanghai 200025, China
    5. Department of Thoracic Surgery, Zhongshan Hospital Affiliated to Fudan University, Shanghai 200030, China
    6. Department of Thoracic Surgery, Pulmonary Hospital Affiliated to Tongji University, Shanghai 200433, China
    7. Department of Thoracic Surgery, Pulmonary Hospital Affiliated to Tongji University, Shanghai 200433, China; Department of Thoracic Surgery, Guyuan People’s Hospital, Guyuan 765000, China
    8. Department of Thoracic Surgical Oncology, Shanghai Lung Cancer Center, Chest Hospital Affiliated to Shanghai Jiao Tong University, Shanghai 200030, China
  • Received:2024-05-11 Revised:2024-06-04 Accepted:2024-06-25 Published:2024-08-28
  • Corresponding author: Wen Gao
引用本文:

唐东方, 沈晓咏, 张辉标, 茅腾, 孙益峰, 成兴华, 张慧君, 殷正昕, 奚俊杰, 高佳妮, 万紫微, 胡学飞, 罗清泉, 陈晓峰, 李鹤成, 李志刚, 陈昶, 高文. 胸外科肺切除术后患者远程管理专家共识[J]. 中华胸部外科电子杂志, 2024, 11(03): 143-150.

Dongfang Tang, Xiaoyong Shen, Huibiao Zhang, Teng Mao, Yifeng Sun, Xinghua Cheng, Huijun Zhang, Zhengxin Yin, Junjie Xi, Jiani Gao, Ziwei Wan, Xuefei Hu, Qingquan Luo, Xiaofeng Chen, Hecheng Li, Zhigang Li, Chang Chen, Wen Gao. Expert consensus on remote management of patients after pneumonectomy in thoracic surgery[J]. Chinese Journal of Thoracic Surgery(Electronic Edition), 2024, 11(03): 143-150.

目前肺术后远程康复管理仍然属于新兴事物,服务有限的患者群体。如何保证肺术后康复远程管理的科学性,特别是确定管理边界,目前还没有指导性规范。据此,上海市医师协会胸外科分会依托国内外指南和共识,结合国情和相关法规组织胸外科学专家编写肺术后康复远程管理专家共识。现基于循证医学证据及多次专家讨论结果,在胸外科肺切除术后远程管理的适合场景、胸外科肺切除术后远程管理的适合人群、胸外科肺术后远程管理中的数据采集及评估、肺功能康复管理模式、胸外科肺术后患者远程管理的依从性和康复评估及胸外科肺术后患者康复锻炼计划6个方面达成了初步共识,为临床工作提供有益指导。

Current telerehabilitation management after pulmonary surgery is still emerging and serves a limited patient population. There is currently no standard on how to ensure the scientific nature of remote management of pulmonary postoperative rehabilitation, especially in determining the management boundary. Therefore, the Shanghai Society of Thoracic Surgery worked to compile thoracic experts’ consensus on remote management of pulmonary postoperative rehabilitation by overviewing domestic and foreign guidelines and consensus, combined with national conditions and relevant regulations. Based on evidence-based medical evidence and multiple expert discussions, a preliminary consensus has been reached in six aspects: suitable scenarios for remote management after pneumonectomy, suitable population for remote management after pneumonectomy, data collection and evaluation in remote management after pneumonectomy, pulmonary function rehabilitation management mode, compliance and rehabilitation evaluation of remote management of patients after pneumonectomy and rehabilitation exercise program for patients after thoracic pneumonectomy, which will provide useful guidance for clinical work.

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