肺动脉高压的运动康复治疗OA
Exercise rehabilitation treatment for pulmonary hypertension
肺动脉高压(PH)是一类病因复杂的综合征,PH的治疗走进药物、介入、外科手术的多模式治疗时代.运动康复治疗(ERT)作为一种重要的非药物治疗措施,在改善PH患者运动耐力、心肺功能和生活质量方面的有效性和安全性得到越来越多循证医学证据的支持.基于PH本身的疾病特点,建议多学科全面评估后制定个体化的ERT方案.在患者住院早期启动,实施右心功能保护策略联合渐进式增加运动强度的ERT,出院后序贯居家长期康复.未来,需要开展更多研究来探讨不同PH亚型人群的ERT以及推广远程医疗模式下PH患者居家ERT.
Pulmonary hypertension(PH)is a syndrome with complex etiology,and the treatment for pulmonary hypertension(PH)has entered the age of multimodal treatment involving medical therapy,interventional treatment and surgical treatment.As an important non-pharmacological treatment,exercise rehabilitation treatment(ERT)has been increasingly supported by evidence-based medical evidence for its effectiveness and safety in improving exercise tolerance,cardiopulmonary function and quality of life in PH patients.Based on the clinical characteristics of PH,it is recommended to formulate an individualized ERT regimen after MDT evaluation.ERT should be initiated early during hospitalization,with progressive increase in exercise intensity according to the strategy of right ventricular function protection,followed by long-term home-based rehabilitation after discharge.In the future,more research is needed to explore ERT in different PH subtypes and to popularize home-based ERT for PH patients based on the telemedicine model.
尤玲燕;熊长明
国家心血管病中心 中国医学科学院阜外医院 呼吸与肺血管病中心,北京 100037国家心血管病中心 中国医学科学院阜外医院 呼吸与肺血管病中心,北京 100037
医药卫生
肺动脉高压运动康复训练居家康复
pulmonary hypertensionexercise rehabilitation traininghome-based rehabilitation
《中国实用内科杂志》 2026 (3)
182-186,5
中国医学科学院医学与健康科技创新工程项目(2024-I2M-C&T-B-041)
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