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引用次数: 0
摘要
心脏康复是急性冠状动脉综合征后治疗的基本组成部分,应在急性住院病人住院的前 14 天内进行。近年来的大量研究表明,心脏康复在改善生活质量、减少再次住院和心血管疾病死亡率方面具有重要的预后价值。多模式、跨学科的心脏康复旨在保持和恢复患者应对日常生活的能力。心脏康复的特点是将运动和物理治疗、社会心理护理、营养治疗、医疗诊断、治疗调整以及在专业康复机构住院 3-4 周的后续护理建议结合起来。急性冠状动脉综合征后参加以运动为基础的多学科心脏康复治疗可降低心血管疾病死亡率,建议采用 I 类 A 级证据。
[Cardiac rehabilitation after acute coronary syndrome].
Cardiac rehabilitation is a fundamental part of treatment after acute coronary syndrome and should be followed within the first 14 days of the acute inpatient stay. The prognostic value in terms of improving quality of life, reducing both re-hospitalizations and cardiovascular mortality has been shown in numerous studies in recent years. The multimodal, interdisciplinary cardiac rehabilitation aims to maintain and restore the patients' ability to cope with everyday life. The characteristic of cardiac rehabilitation is the combination of sports and physiotherapy, psychosocial care, nutritional therapy, medical diagnostics, and therapy adjustment as well as aftercare recommendations within the framework of a 3-4 week stay in specialized rehabilitation facilities. Participation in exercise-based, multidisciplinary cardiac rehabilitation after acute coronary syndrome reduces cardiovascular mortality and is recommended with Class I, Level A evidence.
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