川崎病患儿的运动管理

Exercise management of children with Kawasaki disease

为了避免川崎病患儿在运动期间发生心血管意外甚至心源性猝死的危险,对所有川崎病患儿制定科学、有效、安全的运动指导具有重要的临床意义。运动主要包括三大类型:日常生活活动、休闲运动和竞技运动,按活动强度分为低强度、中等强度和高强度。所有体育活动都是静态运动和动态运动的组合,增加静态运动需要较高的最大自主收缩百分比,增加动态运动则需要较高的耗氧量。对于所有川崎病患儿需要根据冠状动脉病变风险进行身体活动和体育运动管理。给予运动指导时,应基于病史、体格检查和必要的辅助检查,全面考虑运动频率、强度、时间和类型四个因素,从静态运动和动态运动两部分来对患儿进行安全有益的个体化指导,以确保最佳的身体状况。

In order to ensure that children with Kawasaki disease avoid the risk of cardiovascular accidents and even sudden cardiac death during exercise,it is of important clinical significance to formulate scientific,effective and safe exercise guidance for all children with Kawasaki disease.Physical activity mainly includes three types:activities of daily living,leisure sports and competitive sports,which are divided into low-intensity,medium-intensity and high-intensity according to the activity intensity.All sports activities are a combination of static exercise and dynamic exercise.Increasing static exercise requires a higher percentage of maximum voluntary contraction,while increasing dynamic exercise requires a higher oxygen consumption.For all children with Kawasaki disease,physical activities and sports management should be carried out according to the risk of coronary artery disease.When giving exercise guidance,the four factors including exercise frequency,intensity,time and type should be fully considered based on medical history,physical examination and necessary auxiliary examinations,and should be dealt with from dynamic exercise and static exercise.Children will be given safe and beneficial individualized guidance to ensure the best physical condition.