冠心病患者的康复(2006年版)

此文系作者为陈在嘉,高润霖主编的《冠心病》(2002年出版)的"第五十一章心脏康复",卓大宏主编的《中国康复医学》(第二版)的"第七十八章冠心病患者康复"的2006年修改稿.     

冠心病患者的康复

此文主要内容系作者为陈在嘉,高润霖主编的<冠心病>(2002年出版)的"第五十一章心脏康复",卓大宏主编的<中国康复医学>(第二版)的"第七十八章冠心病患者康复"撰写的内容.     

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随着人们生活水平的提高和体力活动的减少,冠心病的发病率逐渐增加。而人们对冠心病的认识已经不仅仅满足于治疗,而是需要全面提高健康水平和生存质量,因此,以运动为核心的冠心病康复逐渐成为理想的治疗手段。     

Rehabilitation of patients with coronary cardiopathy. Early mobilization after acute myocardial infarction

The early mobilization of selected patients with uncomplicated myocardial infarction is not any longer a controversial subject. The benefits are the prevention of decreasing physical capacity and other complications due to physical immobilization. Anxiety and depressive states are prevented or improved, physical capacity is maintained; there is a well being sensation upon discharge and there are economical advantages due to shortening of the hospitalization period. The latter favors an early return to work and a rapid turnover of hospital beds. From different points of view, early discharge of these patients is desirable, safe, possible, decreases expenses, and favors recovery.     

冠状动脉旁路手术后康复

目的 :探讨冠状动脉搭桥术后早期康复运动的疗效。方法 :对 90例冠状动脉旁路手术患者于术后早期进行康复治疗。于胸部物理治疗的同时协助病人肢体各大关节、肌群先被动、后主动活动。待拔除引流管 2小时后 ,督促指导患者先平地行走后下台阶 ,逐渐至上、下 5层楼梯 (5METs) ,每日 2～3次。结果 :所有病人术后第 3日可下床活动。结论 :冠脉旁路手术的术前、后康复对病人早日回归社会有一定意义     

冠心病患者介入治疗术后的康复治疗

随着人们生活水平的不断提高,冠心病特别是心肌梗塞的发生率逐年升高,已经成为当今社会严重危害人类健康,致死、致残的主要疾病之一.恢复冠状动脉血运,改善心肌缺血,挽救濒临死亡心肌是冠心病治疗的主要措施之一,其中经皮冠状动脉介入治疗(percutaneous coronary intervention,PCI)已经成为冠心病血管重建的重要手段.     

老年心脏病的康复

中国是世界上人口最多的国家,也是老龄人口绝对数量最多的国家,其老龄化速度居世界之首。老年期的心脏病常随着年龄的增加和生活方式的改变,疾病谱发生变化,其中最明显的是冠心病发病率的增加,资料表明,当前中国冠心病发病率以每年3％的速度上升,其中绝大多数为老年和老年前期患者,因此在不久的将来,中国将有近半数老人患有心脏病,其中主要是冠心病。     

Rehabilitation of the coronary patient. Current concepts

The principles of rehabilitation--or rather the long-term treatment--of the patient following myocardial infarction or coronary artery surgery have been defined for some time: a number of measures aimed at ensuring an optimal physical, social and psychological condition for the patient. However, the modalities of application of these principles have changed over the years, with earlier and earlier mobilisation, a briefer hospital stay, progressive physical training, early evaluation of the residual disease, a systematic psychological approach, secondary prevention and, finally, a more frequent return to work. Although the short-term results of these new approaches appear to be excellent, the long-term results are less encouraging. New research may modify our present therapeutic approaches, which are often purely empirical.