重视先天性心脏病手术后心脏康复,提高全生命周期生活质量  

Focusing more upon cardiac rehabilitations after congenital heart disease surgery for improving life quality of whole life cycle

作　　者：刘喜旺[1] 徐玮泽[1] 舒强[1] Liu Xiwang;Xu Weize;Shu Qiang(National Clinical Research Center for Children's Health/National Children's Regional Medical Center/Children's Hospital,Zhejiang University School of Medicine,Hangzhou 310052,China)

机构地区：[1]浙江大学医学院附属儿童医院心脏外科,国家儿童健康与疾病临床医学中心,国家儿童区域医疗中心,杭州310052

出　　处：《临床小儿外科杂志》2023年第5期401-406,共6页Journal of Clinical Pediatric Surgery

基　　金：浙江省自然科学基金(Y19H150044)

摘　　要：先天性心脏病(简称先心病)是最常见的出生缺陷,随着诊疗技术和管理策略的改进,其病死率已明显降低。先心病手术后心脏康复对于改善患儿预后和提高患儿生活质量具有重要的作用,是高成本效益的先心病治疗策略,应作为先心病治疗的重要组成部分。国内先心病手术后心脏康复起步较晚,应结合实际情况逐步建立"以先心病专科医师为主导、多学科联合和多模式开展"的个性化全生命周期心脏康复模式,对包含成人在内的不同类型、不同年龄段先心病手术后心脏康复策略进行深入、广泛研究,制定最优方案。本文对目前国内外先心病手术后心脏康复现状进行分析,并对其发展方向进行展望。Congenital heart disease(CHD)is the most common birth defect.With continuous improvements of diagnostic and therapeutic technology and refinements of management strategies,its mortality has declined steadily.After CHD surgery,cardiac rehabilitation is vital for improving patient prognosis and enhancing their quality-of-life.As a cost-effective treatment strategy for CHD,it is becoming an integral part of treating CHD.In China,cardiac rehabilitation after CHD surgery has a later start.A personalized full life-cycle cardiac rehabilitation model should be formulated led by clinical specialists of CHD with multidisciplinary cooperations and multi-mode developments.Postoperative cardiac rehabilitation strategies may be optimized through in-depth and extensive researches for different types and age groups.

关 键 词：心脏病 先天畸形 心脏康复 外科手术 儿童 

分 类 号：R726.5[医药卫生—儿科]