摘要
在过去的几十年中,心脏康复从单纯地对患者进行体力活动安全性的监测,逐步发展成为关注患者教育、个体化量身定制运动训练、控制危险因素以及心脏病患者的整体健康的多学科治疗方法。已经证实该疗法对于心脏病患者的护理是有效的。最近关于心脏康复的研究证明,伴有缺血性心脏病、心力衰竭以及心脏术后等各种病理生理学改变的患者,可以从心脏康复的优化治疗中获得极大的收益。心脏康复的益处包括死亡率的降低、症状的缓解、吸烟的减少和运动耐量的增加、危险因素的控制以及整体的社会心理健康。遗憾的是,心脏康复仍然没有被充分地应用起来,主要原因是转诊问题以及较低的参与率。研发替代疗法,运用电信通讯工具及其他监测方法将有助于推广心脏康复治疗的应用。
Cardiac rehabilitation has evolved over the past decades from a simple monitoring for the safe return to physical activities to a multidisciplinary approach that focuses on patient education,individually tailored exercise training,modification of the risk factors and the overall well-being of the cardiac patients.It has been proven to be an effective tool for the care of the patients with heart disease.Recent research in cardiac rehabilitation has demonstrated that tremendous benefits can be derived from the optimal use of cardiac rehabilitation in patients with various cardiac pathologies including ischemic heart disease,heart failure and post heart surgery.The benefits of cardiac rehabilitation include mortality reduction,symptom relief,reduction in smoking and improved exercise tolerance,risk factors modification and the overall psychosocial wellbeing.Unfortunately,cardiac rehabilitation remains considerably underutilized mainly because of referral problems and poor enrollment.The development of alternate approaches and the use of transtelephonic and other means of monitoring and surveillance will help expand the utilization of cardiac rehabilitation.
出处
《中国胸心血管外科临床杂志》
CAS
CSCD
2015年第8期709-718,共10页
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
关键词
二级预防
运动训练
心脏康复
Secondary prevention
Exercise training
Cardiac rehabilitation
