medalphabetМедицинский алфавитMedical alphabet2078-56312949-2807ООО «Альфмед»10.33667/2078-5631-2025-35-46-53medalphabet-4771Research ArticleСтатьиПреабилитация хирургических больных: акцент на нутритивную поддержкуPrehabilitation of surgical patients: focus on nutritional supporthttps://orcid.org/0000-0002-8121-4160ПасечникИ. Н.PasechnikI. N.

Пасечник Игорь Николаевич, заведующий кафедрой анестезиологии и реаниматологии, врач анестезиолог-реаниматолог отделения анестезиологии

Pasechnik Igor N., head of the Dept of Anesthesiology and Intensive Care Medicine1, anesthesiologist at the Anesthesiology Department

pasigor@yandex.ruhttps://orcid.org/0000-0003-2732-3873НовиковаТ. В.NovikovaT. V.

Новикова Татьяна Валериановна, медицинский менеджер

Novikova Tatyana V., medical manager, Intensive care & Neurology

tatyana.novikova@nutricia.comhttps://orcid.org/0000-0001-7973-8777ЩучкоА. А.ShchuchkoA. A.

Щучко Анатолий Анатольевич, заместитель главного врача по анестезиологии и реаниматологии

Shchuchko Anatoly A., deputy chief physician for Anesthesiology and Intensive Care Medicine

anatolchic@gmail.comФГБУ ДПО «Центральная государственная медицинская академия» Управления делами Президента Российской Федерации; ГБУЗ «Городская клиническая больница № 29 им. Н.Э. Баумана Департамента здравоохранения Москвы»РоссияCentral State Medical Academy of the Administrative Department of the President of the Russian Federation; Bauman City Clinical Hospital No. 29Russian FederationООО «Нутриция», Научно-медицинский департаментРоссияLLC Nutricia, Scientific and Medical DepartmentRussian FederationГБУЗ «Городская клиническая больница № 29 им. Н.Э. Баумана Департамента здравоохранения Москвы»РоссияBauman City Clinical Hospital No. 29Russian Federation202525122025035Кардиология. Неотложная медицина (4)4653Copyright © Пасечник И.Н., Новикова Т.В., Щучко А.А., 20252025Пасечник И.Н., Новикова Т.В., Щучко А.А.Pasechnik I.N., Novikova T.V., Shchuchko A.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.med-alphabet.com/jour/article/view/4771

Преабилитация – один из компонентов периоперационной медицины и важный этап лечения больных хирургического профиля, направленный на повышение функциональных возможностей пациента и адаптации его к хирургическому стрессу. Основными составляющими мультимодальной преабилитации являются: физические упражнения, адекватная нутритивная поддержка, психологическая помощь. Авторы обсуждают возможности оптимизации нутритивной поддержки с использованием продуктов энтерального питания у хирургических больных с целью повышения их реабилитационного потенциала, уменьшения выраженности саркопении и снижения числа осложнений в периоперационном периоде.

Prehabilitation is a component of perioperative medicine and an important stage in the treatment of surgical patients, aimed at improving the patient’s functional capacity and adapting to surgical stress. The key components of multimodal prehabilitation include physical exercise, adequate nutritional support, and psychological support. The authors discuss the potential for optimizing nutritional support using enteral nutrition products in surgical patients to enhance their rehabilitation potential, reduce the severity of sarcopenia, and decrease the incidence of perioperative complications.

периоперационная медицинапреабилитациясаркопенияэнтеральное питаниесипингperioperative medicineprehabilitationsarcopeniaenteral nutritionsippingReferencesWatson S-L., Fowler A. J., Dias P. et al. The lifetime risk of surgery in England: a nationwide observational cohort study. Br. J. Anaesth. 2024; 133 (4): 768–775. DOI: 10.1016/j.bja.2024.06.028Watson S-L., Fowler A. J., Dias P. et al. The lifetime risk of surgery in England: a nationwide observational cohort study. Br. J. Anaesth. 2024; 133 (4): 768–775. DOI: 10.1016/j.bja.2024.06.028Pasechnik I.N., Kurochkin M.S., Krylov S.V., Rybintsev V.Y. Perioperative medicine: is there a place for simulation technologies? // Virtual technologies in Medicine. 2024$1 (2). DOI: 10.46594/2687-0037_2024_2_1819Pasechnik I.N., Kurochkin M.S., Krylov S.V., Rybintsev V.Y. Perioperative medicine: is there a place for simulation technologies? // Virtual technologies in Medicine. 2024$1 (2). 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The authors declare that there are no conflicts of interest present.