要重视心脏外科患者手术前后的康复治疗

Pay more attention to the rehabilitation of cardiac surgery patients

近年来中国心脏病领域出现了预防-治疗-康复并举的良好势头,但康复主要局限于心内科,仅少数中心兼作心外科患者。而发达国家住院康复对象主要是心外科患者,经过约2周左右的康复治疗,患者心脏功能均明显改善,体力增加,不少患者重返工作岗位。鉴于心脏外科患者存在胸部和心脏切口,康复有其特殊性。本文着重探讨手术前后的心理疏导、个体化心脏康复措施及心脏康复的重要性和依从性宣教。

Cardiac rehabilitation improves exercise capacity and quality of life while reducing mortality,then is recommended for all cardiac patients,especially in patients after cardiac surgery in German.But in China,rehabilitation approaches were few used in cardiac surgery patients.This article emphasizes on the following aspects：（1）Pay more attention to psychological counseling before and after surgery;（2）Individualized cardiac rehabilitation helps patients with severe heart disease passing through surgical difficulties;（3）Pay more attention to the heart rehabilitation education and compliance for patients as well as doctors.