普及和推广心脏康复理念,积极探索适宜的心血管疾病康复模式
高炜
摘要(Abstract)：
<正>随着社会经济的发展、生活方式的改变和人口老龄化,冠心病、心力衰竭等心血管疾病的发病率和患病率逐年上升,带病生存的患者数量急剧增长,涉及大量家庭、社会医疗资源投入和生产力的消耗,也给医疗服务带来巨大挑战。国内外大量研究证明,缺乏体力活动是心血管疾病的独立危险因素,约1/3缺血性心脏病患者死亡与缺乏体力活动有关,而适度的体力活动有明确的心血管保护效应[1,2]。我们的研究也发现,在心肌梗死发病前有规律运动习惯的患者发病后早期的运动耐量明显高于无运动习惯者[3]。
关键词(KeyWords)：
基金项目(Foundation):
作者(Author): 高炜
参考文献(References)：
- [1]O’Connor CM,Whellan DJ,Lee KL,et al.Efficacy and safety of exercise training in patients with chronic heart failure:HF-ACTION randomized controlled trial[J].JAMA,2009,301(14):1439-1450.
- [2]Lollgen H,Bockenhoff A,Knapp G.Physical activity and all-cause mortality:an updated meta-analysis with different intensity categories[J].Int J Sports Med,2009,30(3):213-224.
- [3]赵威,白瑾,张福春,等.发病前规律运动对急性心肌梗死患者早期运动耐量的影响[J].中华内科杂志,2012,51(6):453-455.
- [4]Lawler PR,Filion KB,Eisenberg MJ,et al.Efficacy of exercise-based cardiac rehabilitation post-myocardial infarction:a systematic review and meta-analysis of randomized controlled trials[J].Am Heart J,2011,162(4):571-584.
- [5]Lewin R,Doherty P.Cardiac rehabilitation and mortality reduction after myocardial infarction:the emperor's new clothes?Evidence in favour of cardiac rehabilitation[J].Heart,2013,99(13):909-911.
- [6]Piepoli MF,Corra U,Benzer W,et al.Secondary prevention through cardiac rehabilitation:physical activity counselling and exercise training-Key components of the position paper from the Cardiac Rehabilitation Section of the European Association of Cardiovascular Prevention and Rehabilitation[J].Eur Heart J,2010,31(16):1967-1974.
- [7]Clark RA,Conway A,Poulsen V,et al.Alternative models of cardiac rehabilitation:a systematic review[J].Eur J Prev Cardiol,2013.[Epub ahead of print]