[Comprehensive rehabilitation guideline for lung transplantation].

To address the lack of standardized rehabilitation protocols in Chinese lung transplantation practice-where significant variations in assessments, interventions, and management modalities compromise patient outcomes-this guideline was jointly developed by the Chinese Thoracic Society, Respiratory Rehabilitation Committee of Chinese Association of Rehabilitation Medicine, Chinese Society of Organ Transplantation, Organ Transplantation Committee of Chinese Association of Rehabilitation Medicine, and the National Center for Respiratory Medicine. A multidisciplinary task force followed the World Health Organization Handbook for Guideline Development and relevant Chinese standards, employing the Delphi method to formulate 16 recommendations addressing 14 clinical questions. These clinical questions encompassed the preoperative pre-rehabilitation, intensive care, sub-intensive care, and long-term rehabilitation phases. Specific topics include preoperative prehabilitation (Q1), postoperative pain management (Q2), early mobilization (Q3), lung-protective ventilation (Q4), noninvasive support after extubation (Q5), prone positioning for graft dysfunction (Q6), and airway clearance (Q7); diaphragm assessment (Q8), inspiratory muscle training (Q9), and dysphagia intervention (Q10); venous thromboembolism prophylaxis (Q11); nutritional (Q12) and psychological (Q13) management; and post-discharge maintenance rehabilitation (Q14). These recommendations advocate an integrated approach encompassing health communication, medication, health devices and technologies, diet and nutrition, lifestyle modifications, and environmental management to optimize recovery and quality of life for lung transplant recipients. 《肺移植全程康复指南》基于循证医学原则和多学科专家共识，围绕术前预康复、围术期重症、术后亚重症及出院后维持性康复四大阶段，整合呼吸治疗、物理康复、营养支持、吞咽功能管理等核心干预措施，最终形成连续性的康复评估与干预路径。指南共纳入14个关键临床问题，形成16条推荐意见，主要涵盖康复评估、个体化康复策略及多学科协作模式等，以促进肺移植受者的功能快速恢复、生活质量改善及长期预后提升，为我国肺移植康复临床实践提供标准化参考。.

Patient Criteria & Setting