老年人急性应激后躯体复原力及功能恢复的研究进展

doi:10.3969/j.issn.1003-9198.2026.06.002

摘要/Abstract

摘要： 老年人在经历手术、感染等急性应激事件后,常出现不同程度的功能下降及恢复不全,成为其走向失能的重要转折点。躯体复原力(physical resilience, PR)是指个体在急性应激暴露后通过动态调节维持或恢复躯体功能的能力,近年来已成为评估老年急性期功能预后的重要视角。本文围绕PR的概念框架与理论基础,系统梳理其评估工具及急性应激后功能恢复的表现特点,分析影响恢复过程的关键生理机制及多维度调控因素,并总结不同临床情境下的应用现状与干预策略。

关键词: 老年人, 急性应激, 躯体复原力, 功能恢复轨迹

Abstract: Older adults frequently experience varying degrees of functional decline and incomplete recovery following acute stressors such as surgery and infection, representing a critical turning point toward disability. Physical resilience (PR) refers to an individual's ability to maintain or restore physical function through dynamic regulation after exposure to acute stress and has emerged as an important perspective for predicting functional prognosis in the acute phase of aging. This review focuses on the conceptual framework and theoretical foundations of PR, systematically summarizes its assessment tools and the patterns of functional recovery following acute stress, analyzes the key physiological mechanisms and multidimensional regulatory factors influencing the recovery process, and discusses its clinical applications and intervention strategies across different settings.

Key words: aged, acute stress, physical resilience, functional recovery trajectory

中图分类号:

R 592

杜娟, 张丽颖, 吴晨凯. 老年人急性应激后躯体复原力及功能恢复的研究进展[J]. 实用老年医学, 2026, 40(6): 545-550.

DU Juan, ZHANG Liying, WU Chenkai. Research progress on physical resilience and functional recovery in older adults following acute stress[J]. Practical Geriatrics, 2026, 40(6): 545-550.

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