冠心病运动康复研究进展

Research Progress of Cardiac Exercise Rehabilitation in Coronary Heart Disease

综述国内外运动康复的起源与发展、运动康复方案和健康获益之间的剂量效应特征、运动康复结束后运动习惯的维持、运动康复的主要模式。一方面,当前冠心病患者的运动康复方案和健康获益之间的剂量效应特征存在争议,尚未明确何种方案使冠心病患者获益最大,但是相关研究推荐以有氧间歇运动为主、抗阻运动为辅,配合短时少量的柔韧训练、总次数达到36次以上的运动康复方案。另一方面,医院康复与远程监控技术支持的居家康复相结合的混合式运动康复在未来可能发挥更大作用。此外,即使运动康复结束了,冠心病患者仍旧需要保持规律的运动习惯。

This study reviews the origin and development of the exercise-based cardiac rehabilitation,dose of exercise intervention,long-term maintenance of exercise training,and different models of exercise-based cardiac rehabilitation.On the one hand,the dose of exercise intervention is controversial,and it is not clear that which program benefits the most to patients with CHD.It is recommended by many organizations to take aerobic interval exercise as the main part of the exercise-based cardiac rehabilitation,resistance exercise as the supplement,with a little flexibility training,and the session of exercise rehabilitation programs reaches more than 36times.On the other hand,the combination of hospital-based rehabilitation and home-based rehabilitation supported by remote monitoring technology may play a greater role in the future.It is worth noting that keeping the long-term maintenance of exercise training is crucial for patients with CHD after the exercise-based cardiac rehabilitation.