COVID-19感染恢复后运动风险筛查与运动建议的经验与启示  

Experience and Enlightenment from Exercise Risk Screening and Exercise Recommendations after Recovery from COVID-19 Infection

作　　者：陈文婷 王轶凡 温煦[1,2] CHEN Wen-ting;WANG Yi-fan;WEN Xu(Department of Sports Science,College of Education,Zhejiang University,Hangzhou 310058,China;Department of Public Sports and Art,Zhejiang University,Hangzhou 310058,China)

机构地区：[1]浙江大学教育学院体育系,浙江杭州310058 [2]浙江大学公共体育与艺术部,浙江杭州310058

出　　处：《浙江体育科学》2024年第2期95-106,共12页Zhejiang Sport Science

摘　　要：COVID-19患者在感染恢复后进行运动可能出现症状加重、心血管意外和猝死等风险,严重影响其生命健康和康复进程。采用文献资料法和逻辑分析法,对COVID-19感染恢复后患者进行运动的潜在风险、运动前风险筛查标准及针对该人群的运动方案进行了系统地梳理和分析。结果表明,COVID-19感染恢复后立即运动,心血管系统和呼吸系统的风险较高,应特别注意运动强度的控制。在恢复运动前,应对运动系统、呼吸和心血管系统及神经系统等进行全面的筛查和评估。总结了COVID-19感染恢复后运动康复的经验,建议建立适用于我国国情的COVID-19感染恢复后患者运动前风险筛查评估体系,同时根据个体差异和病情程度制定运动方案,并遵循循序渐进原则开展运动以及注意运动过程中的持续监控。旨在提高COVID-19患者运动康复的安全性和有效性,并对未来可能出现的类似传染病的运动康复提供经验。Patients with COVID-19 who exercise after recovering from infection may be at risk for exacerbation of symptoms,cardiovascular accidents,and sudden death,which can seriously affect their life health and recovery process.In this paper,the potential risks of exercise in patients recovering from COVID-19 infection,pre-exercise risk screening criteria,and exercise programs for this population were systematically reviewed and analyzed using literature-based and logical analysis methods.The results showed that exercise immediately after recovery from COVID-19 infection is associated with higher risks to the cardiovascular and respiratory systems and special attention should be paid to the control of exercise intensity.A comprehensive screening and assessment of the exercise system,respiratory and cardiovascular systems,and nervous system should be performed before resuming exercise.This paper summarizes the experience of exercise rehabilitation after recovery from COVID-19 infection and suggests the establishment of a pre-exercise risk screening and assessment system for patients recovering from COVID-19 infection that is applicable to our national situation,as well as the development of exercise programs based on individual differences and the degree of disease,and the implementation of exercise in accordance with the principle of gradual and progressive progress and continuous monitoring during exercise,with the aim of improving the safety and effectiveness of exercise rehabilitation for patients with COVID-19.The aim is to improve the safety and efficacy of exercise rehabilitation in patients with COVID-19 and to provide experience with exercise rehabilitation for similar infectious diseases that may arise in the future.

关 键 词：COVID-19后遗症 运动风险 运动前筛查 运动方案 

分 类 号：G804.49[文化科学—运动人体科学]