浅析心力衰竭的中医学康复运动疗法优势特色与潜在机制  

Analysis of Features and Mechanisms of Chinese Medicine Rehabilitation Exercise Therapy for Heart Failure

作　　者：袁天慧[1,2] 朱迪 陈思阳 吴辉[1] 杨忠奇[1,2] 冼绍祥[1,2,3] YUAN Tian-hui;ZHU Di;CHEN Si-yang;WU Hui;YANG Zhong-qi;XIAN Shao-xiang(Department of International Medical,The First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine,Guangzhou,510405;Department of Geriatrics(Clinical Research Ward),The First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine,Guangzhou,510405;First Clinical Medical College,Guangzhou University of Traditional Chinese Medicine,Guangzhou,510504)

机构地区：[1]广州中医药大学第一附属医院国际医疗部,广州510405 [2]广州中医药大学第一附属医院老年病临床研究病房,广州510405 [3]广州中医药大学第一临床医学院,广州510504

出　　处：《中国中西医结合杂志》2023年第12期1502-1509,共8页Chinese Journal of Integrated Traditional and Western Medicine

基　　金：中华中医药学会青年人才托举工程项目[No.CACM-(2020-QNRC2-09)];国家自然科学基金资助项目(No.82274416);十三五国家重点研发计划(No.2017YFC1700304);广州市重点研发计划项目(No.202206080015);国家中医药管理局第七批全国老中医药专家学术经验继承工作指导老师及继承人项目(No.国中医药人教函[2022]76号);国家中医临床研究基地建设项目(No.国中医药科技函[2018]131号);广州中医药大学第一附属医院高水平医院建设项目(No.2110100609)。

摘　　要：我国心力衰竭(简称心衰)人数增长迅速,给社会、家庭及患者带来了沉重负担。最新指南建议除慢性心衰稳定期的患者应该保证一定强度的运动量外,对于心衰急性发作的患者,也应在生命体征稳定后立即开始适量活动。中医康复运动包括太极拳、八段锦、五禽戏及六字诀等,多项研究表明其对心衰患者具有改善远期预后、缓解焦虑抑郁情绪、提高生活质量、降低再入院率及病死率等疗效。本文浅析以上4种代表性的中医康复运动方法,结合现代医学研究结果,试图为心衰患者选择中医学康复运动方案提供参考依据。The number of heart failure patients increasing rapidly in China,bringing a heavy burden to society,families and patients.The latest guidelines recommend that in addition to patients in the stable phase of chronic heart failure who should ensure a certain intensity of exercise,patients with an acute attack of heart failure should also begin moderate activity as soon as their vital signs are stable.The rehabilitation exercise therapies in Chinese medicine include Tai Chi,Baduanjin,Wuqinxi and Liuzijue,which have been shown in several studies to improve long-term prognosis,relieve anxiety and depression,improve quality of life,and reduce readmission and mortality rates in heart failure patients.In this paper,the 4 representative Chinese medicine rehabilitation exercises were analyzed,and combine them with modern medical research results to provide suitable Chinese medicine rehabilitation exercise programs for patients with heart failure.

关 键 词：心力衰竭 中医康复 运动疗法 太极拳 八段锦 五禽戏 六字诀 

分 类 号：R259[医药卫生—中西医结合]