植入型心律转复除颤器患者心脏康复研究进展  

Research progress on cardiac rehabilitation in patients with implanted cardiac defibrillator

作　　者：刘佳霓[1,2] 李翔(综述) 谢薇(审校) LIU Jiani;LI Xiang;XIE Wei(Department of Rehabilitation Medicine,West China Hospital,Sichuan University,Chengdu 610041,P.R.China;Key Laboratory of Rehabilitation Medicine in Sichuan Province,West China Hospital,Sichuan University,Chengdu 610041,P.R.China;Department of Cardiovascular Surgery,West China Hospital,Sichuan University,Chengdu 610041,P.R.China)

机构地区：[1]四川大学华西医院康复医学中心,成都610041 [2]康复医学四川省重点实验室,成都610041 [3]四川大学华西医院心脏大血管外科,成都610041

出　　处：《生物医学工程学杂志》2020年第4期736-740,共5页Journal of Biomedical Engineering

摘　　要：植入式自动心律转复除颤器(ICD)是预防心源性猝死的最有效措施。但ICD术后患者常出现运动耐量、生活质量下降及焦虑抑郁等问题,此类患者需要进行心脏康复。大量研究已经证明心脏康复对于心血管疾病患者是有效的二级预防措施,其安全性和有效性已经得到循证医学研究支持。心脏康复可以预防心血管事件再发,减少ICD患者再住院率,并能够促进患者健康行为和积极的生活方式形成,从而提高患者的生活质量。现主要对ICD患者心脏康复的必要性、有效性、安全性,以及运动方案设计和经济效益做一综述。Implantable cardioverter defibrillator(ICD)is the most effective measure to prevent sudden cardiac death.However,ICD patients frequently have problems such as decline of exercise tolerance and quality of life,anxiety and depression after operation,which require cardiac rehabilitation(CR).A considerable amount of studies have proved that CR is an effective secondary prevention measure for patients with cardiovascular disease.Its safety and effectiveness have been supported by evidence-based medicine research,which can prevent the recurrence of cardiovascular events,reduce the readmisson rate,and promote healthy behavior and active lifestyle formation of patients,so as to improve the quality of life of patients.This review mainly summarized the necessity,safety,exercise program and economic benefits of CR in ICD patients.

关 键 词：植入式自动心律转复除颤器 心脏康复 运动训练 

分 类 号：R541.7[医药卫生—心血管疾病]