我国康复心脏病学的发展及现状(08版)

Development and current situation of Chinese rehabilitative cardiology

目的:报告中国现代康复心脏病学的发展和现状。方法:回顾性分析主要发表在1998年～2008年8月《心血管康复医学杂志》的有代表性的298篇论文。结果:1991年中国康复医学会心血管病专业委员会(Cardiovascular Committee of Chinese Association Medicine,CCCARM)成立。该会1992年创办了《中国心血管康复医学》杂志,1998年公开出版,定名为《心血管康复医学杂志》,先后制定了《中国心肌梗塞康复程序参考方案》一～四版,《心脏分级运动试验结果判定标准》,《冠心病人康复危险分层法》,《中国经皮冠状动脉介入治疗的康复程序》,《中国心血管病人生活质量评定问卷》,出版了《康复心脏病学》等专著。开展急性心肌梗死康复医疗的单位由中国康复医学会心血管病专业委员会成立前的3所医院发展至20个省、市的许多医院(无并发症者多为二周程序),成功进行了合并心力衰竭等合并症的急性心肌梗塞的康复医疗。近年心脏康复对防治冠脉介入治疗后的再狭窄做出了宝贵贡献,研究证明运动,控制冠心病危险因素可减少再狭窄;心衰康复取得了重大进展。在冠心病等的危险因素及衡量病情严重程度、判断预后的指标研究方面也有丰硕的成果。我会我刊编委会制定的"中国心血管病人生活质量评定问卷"今年获得了认证,统计分析证明该问卷与广泛使用的健康调查简表在所有患者,高血压、冠心病、心衰患者均有较好的信度和效度,为进一步广泛协作,测定其大样本常模打下基础。《心血管康复医学杂志》被评为中国科技核心期刊,中国科技论文统计源期刊;影响因子位于同类刊物前列;国际订户分布在16个国家和地区。结论:中国康复心脏病学发展甚快,但仍需继续努力。

Objective： To report the development and current situation of Chinese rehabilitative cardiology. Methods：Retrospectively analyzes the data of 298 typical theses mainly published in （（Chinese Journal of Cardiovascular Rehabilitation Medicine）） from 1998 to Augst 2008. Results： Cardiovascular Committee of Chinese Association of Rehab Medi- cine （CCCARM） was founded in 1991. （（Reference scheme of Chinese acute myocardial infarction program for rehab. 1-4th edition））, （（Interpretive criteria of graded exercise test results））, （（Chinese risk stratification for cardiac rehab of coronary heart disease））, （（Chinese rehabilitation program of percutaneous coronary intervention））, （（Chinese question- naire of quality of life in patients with cardiovascular disease）） were instituted. The （（Rehabilitative Cardiology）） was published. The （（Chinese Journal of Cardiovascular Rehabilitation Medicine ）） （nucleus journal of Chinese, http： // www. wanfangdata, com. cm //www. cnki. net/xxgk） was published and international subscribers were distributed in 16 country and region. Many hospitals in 20 provinces carried out the acute myocardial infarction （AMI） rehab therapy. Rehab therapy for AMI patients with complication such as congestive heart failure was performed. There were significance achievements in rehab, of heart failure and in rehab after PTCA and CABG. Its study results indica- ted that exercise and control risk factor of coronary heart disease can decrease restenosis rate. Now the CQQC was e- valuated with statistics. Its reliability was higher and the construct validity compared with 36-- item short form health survey （SF--36） also was higher, thus the ground is established for its large sample norm examine cooperatively. Conclusion; The development of Chinese rehabilitative cardiology is very fast, but requires to working hard still.