我国康复心脏病学的发展及现状

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-2005年6月《心血管康复医学杂志》的有关292篇论文。结果:1991年中国康复医学会心血管病专业委员会(Cardiovaseular Committee of Chinese Association Medicine,CCCARM)成立。该会1992年创办了《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》一-三版,《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》,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已由2所医院发展至19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。在冠心病等的危险因素及衡量病情严重程度、判断预后的指标方面也有丰硕的成果。《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。结论:中国康复心脏病学发展是很快的,但需要继续努力。

Objective： To report the development and current situation of Chinese rehabilitative cardiology. Methods： Retrospectively analyzes the data of 292 theses mainly published in 《Chinese Journal of Cardiovascular Rehabilitation Medicine》 from 1998 to June 2005. Results： Cardiovascular Committee of Chinese Association of Rehab Medicine （CCCARM） was founded in 1991. 《Reference scheme of Chinese acute myocardial infarction program for rehab. 1-3-rd edition》, 《Interpretive criteria of graded exercise test results》, 《Chinese risk stratification for cardiac rehab of coronary heart disease》 were drafted. The 《Rehabilitative Cardiology》, 《Chinese Journal of Cardiovascular Rehabili- tation Medicine 》 （nucleus journal of Chinese, http： //www. wanfangdata, com. cn; //www. cnki. net /xxgk） were published. Many hospitals in 19 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 after PTCA and CABG. Its study results indicated that exercise and control risk factor of coronary heart disease can decrease restenosis rate. Conclusion： The development of Chinese rehabilitative cardiology is very fast, but requires to working hard still.