缺血性心脏病患者的心脏康复

Yun-Chol Jang, Jae-Young Han
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摘要

在世界范围内,缺血性心脏病患者的数量正在增加。死亡率和治疗费用也在增加。心脏康复对减少疾病复发、再入院和死亡率是有效的。因此,强烈建议在缺血性心脏病后引入心脏康复。心脏康复小组由康复医学医生、康复护士、物理治疗师、职业治疗师、临床心理学家、营养学家和社会工作者组成。心脏康复计划包括风险因素管理、身体活动、药物管理、心理问题管理、职业康复训练和职业咨询。应该为每个病人制定单独的治疗方案。在引入康复计划之前,应评估患者的危险因素和功能状态。患者接受有关血压、血糖、血脂、体重、戒烟和营养状况管理的教育。有氧运动是最重要的心脏康复计划,阻力运动和柔韧性运动也可能包括在内。即使在心脏康复项目结束后,也应该通过与当地社区的联系,继续改变运动和生活方式。目前,世界各地的心脏康复计划存在差异。未来应进行跨国、多中心、大规模的研究。通过这些研究,确认了心脏康复的效果,并确定了各指南的重要部分。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Cardiac Rehabilitation in Patients with Ischemic Heart Disease
• 42 • Abstract The number of patients with ischemic heart disease is increasing worldwide. And mortality and treatment costs are also increasing. Cardiac rehabilitation is effective in reducing disease recurrence, readmission, and mortality rates. Therefore, it is strongly recommended to introduce cardiac rehabilitation after ischemic heart disease. The cardiac rehabilitation team consists of rehabilitation medicine doctors, rehabilitation nurses, physical therapists, occupational therapists, clinical psychologists, nutritionists, and social workers. Cardiac rehabilitation programs include risk factor management, physical activity, medication management, psychological problem management, vocational rehabilitation training, and vocational counseling. Individual treatment programs should be created for each patient. Prior to the introduction of a rehabilitation program, the patient's risk factors and functional status should be evaluated. And patients receive education on blood pressure, blood sugar, lipids, weight, smoking cessation, and nutritional status management. An aerobic exercise is the most important cardiac rehabilitation program, and resistance exercise and flexibility exercise may also be included. Even after the cardiac rehabilitation program is finished, the changes in exercise and lifestyle should be continued through connection with the local community. Currently, there are differences in cardiac rehabilitation programs around the world. In the future, multinational, multi-center and large-scale research should be conducted. Through those studies, the effects of cardiac rehabilitation are confirmed, and important parts of each guideline are identified.
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