心脏康复药物处方中西医研究进展

Research progress of Chinese and Western medicine in cardiac rehabilitation drug prescriptions

目前国内外心脏康复以运动训练为主,在改善患者心功能、运动耐量、生活质量等方面效果确切、证据充足,目前已然形成了科学系统的共识指南。而药物处方作为控制病情、改善症状和预后、提高心功能和生活质量等的主要因素,也是不可或缺的,有证据表明中医药制剂等对于运动训练能起到一定的补充替代作用,而这些是西医药物处方难以实现的。本文根据国内心脏康复指南,将药物处方规划进入心脏康复的五大处方,旨在总结心脏康复国内外指南中的药物处方,并梳理心脏康复中医药药物处方的最新研究进展,分析现状不足之处并指出未来研究发展的方向,以初步探讨心脏康复中西医结合指南。

At present,cardiac rehabilitation at home and abroad is mainly based on exercise training,which has definite curative effect and sufficient evidence in improving patients’cardiac functions,exercise tolerance and quality of life.Up till now,a scientific and systematic consensus guide for cardiac rehabilitation has been formed.Drug prescription,as the main factor to control the disease,relieve symptoms and improve prognosis,cardiac functions and quality of life,is also indispensable.There is evidence that some drugs,such as traditional Chinese medicine preparations,are supplements to exercise training.According to the domestic guidelines,this paper categorizes the drug prescriptions into the five prescriptions of cardiac rehabilitation,aiming to summarize the drug prescriptions in the guidelines at home and abroad,sort out the latest research progress of traditional Chinese medicine prescriptions for cardiac rehabilitation,analyze the current situation and problems,and point out the direction of future research and development for cardiac rehabilitation prescriptions,so as to preliminarily explore the guidelines of integrated Chinese and Western medicine for cardiac rehabilitation.