从骨骼肌水平谈心力衰竭患者康复治疗

Rehabilitation treatment for patients with heart failure: from the level of skeletal muscle

心力衰竭(心衰)是多种心脏疾病发展的最终表现形式,严重降低了老年心衰患者的生活质量。骨骼肌质量和骨骼肌力量是决定心衰患者日常生活质量的主要因素之一。心脏康复作为多种心脏疾病的后期康复方式,逐渐进入临床,并且带来了良好的获益,心脏康复通常分为三个阶段:第一阶段是指住院康复;第二阶段是指出院后门诊康复(出院后4个月在分级运动计划中进行多达36次训练);第三阶段是一个持久运动计划。以运动训练为主体的形式存在许多限制,例如运动监管、运动不耐受等。因此,找到除了运动训练以外的心脏康复手段十分迫切。

Heart failure is the final manifestation of the development of a variety of heart diseases, which has a great impact on the quality of life of elderly patients with heart failure. Skeletal muscle mass and skeletal muscle strength are one of the main factors that determine the quality of daily life in patients with heart failure.Cardiac rehabilitation has gradually entered the clinic as a late-stage rehabilitation method for various heart diseases and has brought good benefits. However, its core form of exercise training has many restrictions such as exercise supervision, exercise tolerance, etc. Therefore, it is very urgent to find a heart rehabilitation method other than sports training.