冠状动脉旁路移植术后心脏康复专家共识

Expert Consensus on Cardiac Rehabilitation After Coronary Artery Bypass Grafting

冠状动脉旁路移植术(CABG)是治疗冠心病常见的血运重建手段。CABG后心脏康复是一项综合的、整体的全程医疗管理模式,包括运动治疗、二级预防用药、营养支持、心理管理、戒烟等方面,CABG后规范的心脏康复对于降低再住院率,提高患者运动能力和生活质量以及预防心血管不良事件等方面具有积极意义。因此,为了促进我国CABG后心脏康复的规范化发展,国家心血管病中心、CABG后心脏康复专家共识编写委员会在2016年《中西医结合冠状动脉旁路移植术Ⅰ期心脏康复专家共识》的基础上,就CABG后心脏康复相关问题进行深入探讨,制定了我国CABG后心脏康复专家共识。其中,针对CABG后心脏康复的术前评估、围术期营养、早期营养支持、重症监护病房(ICU)期间康复、社会心理因素干预、睡眠管理等重要问题提出了明确建议。

Coronary artery bypass grafting(CABG)is a common procedure of revascularization in the treatment of coronary heart disease.Cardiac rehabilitation after CABG is a comprehensive medical management model,including exercise therapy,secondary prevention,nutrition support,psychological management,smoking cessation,etc.Standardized cardiac rehabilitation after CABG is of great clinical significance in reducing the rate of readmission,improving patients'exercise capacity and quality of life,as well as preventing adverse cardiovascular events.In order to promote the standardized development of CABG postoperative cardiac rehabilitation in China,the National Center for Cardiovascular Diseases and the CABG Postoperative Cardiac Rehabilitation Expert Consensus Writing Committee conducted in-depth discussions on the related issues and formulated the current expert consensus on cardiac rehabilitation after CABG on the basis of the 2016“Expert Consensus on the Phase-I Cardiac Rehabilitation of Integrated Medicine for Coronary artery bypass grafting”.In particular,clear recommendations are made on important issues such as preoperative evaluation,perioperative nutrition,early nutritional support,rehabilitation in intensive care unit,intervention of psychosocial factors,and sleep management,etc.