急性失代偿性心力衰竭患者运动康复的研究进展

doi:10.3761/j.issn.0254-1769.2022.05.017

摘要/Abstract

摘要：

运动康复是促进急性失代偿性心力衰竭患者住院期间早期康复的重要手段。该文对急性失代偿性心力衰竭患者运动康复的相关研究进行综述,包括运动形式、运动方法、影响因素及干预效果等,以期丰富急性失代偿性心力衰竭患者早期康复的干预内容。

Abstract:

Exercise rehabilitation is an important mean to promote early rehabilitation of patients with acute decompensated heart failure（ADHF） during hospitalization. This paper reviews the related research on exercise rehabilitation of patients with ADHF,summarizes the exercise styles,exercise methods,influencing factors and intervention effects,and enriches the intervention content for early rehabilitation of patients with ADHF.

Key words: Heart Failure, Decompensated Period, Exercise, Review, Rehabilitation Nursing

梁倩, 刘静, 柳红娟, 栾晓嵘. 急性失代偿性心力衰竭患者运动康复的研究进展[J]. 中华护理杂志, 2022, 57(5): 625-630.

LIANG Qian, LIU Jing, LIU Hongjuan, LUAN Xiaorong. Exercise rehabilitation in patients with acute decompensated heart failure：a review[J]. Chinese Journal of Nursing, 2022, 57(5): 625-630.

参考文献 43

[1]	Mebazaa A, Yilmaz MB, Levy P, et al. Recommendations on pre-hospital & early hospital management of acute heart failure:a consensus paper from the Heart Failure Association of the European Society of Cardiology,the European Society of Eme-rgency Medicine and the Society of Academic Emergency Medicine[J]. Eur J Heart Fail, 2015, 17(6):544-558. DOI URL
[2]	潘扬, 汪芳, 关敬树, 等. 失代偿期心力衰竭患者肾功能不全与预后的关系[J]. 中国中西医结合急救杂志, 2015, 22(3):253-257.
	Pan Y, Wang F, Guan JS, et al. The correlation between renal dysfunction and prognosis of patients with decompensated heart failure[J]. Chin J Integr Tradit West Med Intensive Crit Care, 2015, 22(3):253-257.
[3]	Thorvaldsen T, Claggett BL, Shah A, et al. Predicting risk in patients hospitalized for acute decompensated heart failure and preserved ejection fraction[J]. Circ Heart Fail, 2017, 10(12):e003992.
[4]	Reeves GR, Whellan DJ, Duncan P, et al. Rehabilitation therapy in older acute heart failure patients(REHAB-HF) trial:design and rationale[J]. Am Heart J, 2017, 185:130-139. DOI URL
[5]	Waring T, Gross K, Soucier R, et al. Measured physical activity and 30-day rehospitalization in heart failure patients[J]. J Car-diopulm Rehabil Prev, 2017, 37(2):124-129.
[6]	潘辉军, 汪春艳. 急性失代偿性心力衰竭的治疗进展[J]. 医学综述, 2020, 26(17):3461-3464,3470.
	Pan HJ, Wang CY. Advances in treatment of acute decompen-sated heart failure[J]. Med Recapitul, 2020, 26(17):3461-3464, 3470.
[7]	Canadian Cardiovascular Society Heart Failure Management Pri-mary Panel, Moe GW, Ezekowitz JA, et al. The 2013 Canadian Cardiovascular Society heart failure management guidelines update:focus on rehabilitation and exercise and surgical coronary revascularization[J]. Can J Cardiol, 2014, 30(3):249-263. DOI URL
[8]	中国康复医学会心血管病预防与康复专业委员会. 慢性心力衰竭心脏康复中国专家共识[J]. 中华内科杂志, 2020, 59(12):942-952.
	Cardiovascular Disease Prevention and Rehabilitation Committee of China Rehabilitation Medical Association. Expert consensus on cardiac rehabilitation for chronic heart failure in China[J]. Chin J Intern Med, 2020, 59(12):942-952.
[9]	Doletsky A, Andreev D, Giverts I, et al. Interval training early after heart failure decompensation is safe and improves exercise tolerance and quality of life in selected patients[J]. Eur J Prev Cardiol, 2018, 25(1):9-18. DOI PMID
[10]	Cops J, Haesen S, De Moor B, et al. Exercise intervention in hospitalized heart failure patients,with emphasis on congestion-related complications:a review[J]. Heart Fail Rev, 2020, 25(2):257-268. DOI URL
[11]	张泽国. 有氧运动对冠心病合并慢性心衰患者血管内皮功能的影响[J]. 山东医药, 2015, 55(22):32-34.
	Zhang ZG. Effect of aerobic exercise on vascular endothelial function in patients with coronary heart disease and chronic heart failure[J]. Shandong Med J, 2015, 55(22):32-34.
[12]	熊恬, 杨建全. 通络补心化瘀汤联合八段锦和运动康复训练对冠心病合并急性心力衰竭病人心率恢复和运动功能的影响[J]. 中西医结合心脑血管病杂志, 2017, 15(11):1296-1300.
	Xiong T, Yang JQ. Effects of baduanjin,exercise rehabilitation training and Tongluo buxin Huayu decoction on heart rate recovery and motor function in patients with coronary heart disease complicated with acute heart failure[J]. Chin J Integr Med Cardio Cerebrovascular Dis, 2017, 15(11):1296-1300.
[13]	Oliveira MF, Santos RC, Artz SA, et al. Safety and efficacy of aerobic exercise training associated to non-invasive ventilation in patients with acute heart failure[J]. Arq Bras Cardiol, 2018, 110(5):467-475. DOI PMID
[14]	苏媛媛, 张伟宏, 宋晓月, 等. 抗阻运动对心血管疾病患者心脏康复作用的研究进展[J]. 中华护理杂志, 2017, 52(2):154-157.
	Su YY, Zhang WH, Song XY, et al. Research progress of resistance exercise on cardiac rehabilitation in patients with cardiovascular diseases[J]. Chin J Nurs, 2017, 52(2):154-157.
[15]	Acanfora D, Scicchitano P, Casucci G, et al. Exercise training effects on elderly and middle-age patients with chronic heart failure after acute decompensation:a randomized,controlled trial[J]. Int J Cardiol, 2016, 225:313-323. DOI URL
[16]	仝林, 徐赛, 杨海霞, 等. 老年急性心力衰竭代偿期病人早期简易心脏康复方案的构建及应用[J]. 实用老年医学, 2021, 35(6):584-587.
	Tong L, Xu S, Yang HX, et al. Construction and application of early simple cardiac rehabilitation program for elderly pa-tients with acute heart failure in compensatory period[J]. Pract Geriatr, 2021, 35(6):584-587.
[17]	Nakaya Y, Akamatsu M, Ogimoto A, et al. Early cardiac rehabilitation for acute decompensated heart failure safely improves physical function(PEARL study):a randomized controlled trial[J]. Eur J Phys Rehabil Med, 2021, 57(6):985-993.
[18]	Motoki H, Nishimura M, Kanai M, et al. Impact of inpatient cardiac rehabilitation on Barthel Index score and prognosis in patients with acute decompensated heart failure[J]. Int J Car-diol, 2019, 293:125-130.
[19]	Mudge AM, Denaro CP, Scott AC, et al. Addition of supervised exercise training to a post-hospital disease management program for patients recently hospitalized with acute heart failure:the EJECTION-HF Randomized Phase 4 Trial[J]. JACC Heart Fail, 2018, 6(2):143-152. DOI URL
[20]	陈月英, 侯惠如, 董蔚, 等. 慢性心力衰竭患者运动康复训练方式的研究进展[J]. 中华老年多器官疾病杂志, 2021, 20(2):144-147.
	Chen YY, Hou HR, Dong W, et al. Research progress in exercise rehabilitation training for patients with chronic heart failure[J]. Chin J Mult Organ Dis Elder, 2021, 20(2):144-147.
[21]	Groehs RV, Antunes-Correa LM, Nobre TS, et al. Muscle electrical stimulation improves neurovascular control and exercise tolerance in hospitalised advanced heart failure patients[J]. Eur J Prev Cardiol, 2016, 23(15):1599-1608. DOI URL
[22]	Saitoh M, Dos Santos MR, Anker M, et al. Neuromuscular elec-trical stimulation for muscle wasting in heart failure patients[J]. Int J Cardiol, 2016, 225:200-205. DOI URL
[23]	Kondo T, Yamada S, Okumura T, et al. Haemodynamic and electrical safety of neuromuscular electrical stimulation in acute decompensated heart failure[J]. Eur Heart J, 2018, 391:908.
[24]	Babu AS, Arena R, Satyamurthy A, et al. Review of trials on exercise-based rehabilitation interventions following acute decompensated heart failure:observations from the who international clinical trials registry platform[J]. J Cardiopulm Rehabil Prev, 2021, 41(4):214-223. DOI URL
[25]	Poltavskaya MG, Sviridenko VP, Kozlovskaya IB, et al. Comparison of the efficacy of neuromuscular electrostimulation and interval exercise training in early rehabilitation of patients hospitalized with decompensation of chronic heart failure[J]. Hum Physiol, 2018, 44(6):663-672. DOI URL
[26]	Forestieri P, Bolzan DW, Santos VB, et al. Neuromuscular elec-trical stimulation improves exercise tolerance in patients with advanced heart failure on continuous intravenous inotropic support use-randomized controlled trial[J]. Clin Rehabil, 2018, 32(1):66-74. DOI PMID
[27]	Takada S, Kondo T, Yasunaga M, et al. Early rehabilitation in older patients hospitalized with acute decompensated heart failure:a retrospective cohort study[J]. Am Heart J, 2020, 230:44-53. DOI URL
[28]	Mezzani A, Hamm LF, Jones AM, et al. Aerobic exercise intensity assessment and prescription in cardiac rehabilitation:a joint position statement of the European association for cardiovascular prevention and rehabilitation,the American association of cardiovascular and pulmonary rehabilitation,and the Canadian association of cardiac rehabilitation[J]. J Cardio-pulm Rehabil Prev, 2012, 32(6):327-350.
[29]	Reeves GR, Whellan DJ, O’Connor CM, et al. A novel rehabilitation intervention for older patients with acute decompensated heart failure:the REHAB-HF pilot study[J]. JACC Heart Fail, 2017, 5(5):359-366. DOI URL
[30]	Piepoli MF, Conraads V, Corrà U, et al. Exercise training in heart failure:from theory to practice. A consensus document of the Heart Failure Association and the European Associa-tion for Cardiovascular Prevention and Rehabilitation[J]. Eur J Heart Fail, 2011, 13(4):347-357. DOI URL
[31]	Delgado BM, Lopes I, Gomes B, et al. Early rehabilitation in cardiology-heart failure:The ERIC-HF protocol,a novel intervention to decompensated heart failure patients rehabilitation[J]. Eur J Cardiovasc Nurs, 2020, 19(7):592-599. DOI URL
[32]	Yaku H, Kato T, Morimoto T, et al. Risk factors and clinical outcomes of functional decline during hospitalisation in very old patients with acute decompensated heart failure:an observational study[J]. BMJ Open, 2020, 10(2):e032674.
[33]	Ueda T, Kawakami R, Nogi K, et al. Serum iron:a new predictor of adverse outcomes independently from serum hemog-lobin levels in patients with acute decompensated heart failure[J]. Sci Rep, 2021, 11(1):2395. DOI URL
[34]	Fava C, Piepoli M, Villani GQ. Heart failure and iron deficiency[J]. G Ital Cardiol(Rome), 2019, 20(3):126-135.
[35]	董银, 李满平. 心理护理干预对慢性心衰急性加重病人负性情绪及生活质量的价值体会[J]. 中国保健营养, 2020, 30(28):251-252.
	Dong Y, Li MP. The value experience of psychological nursing intervention on the negative emotion and quality of life of patients with chronic heart failure and acute exacerbation[J]. China Health Care & Nutrition, 2020, 30(28):251-252.
[36]	Jha SR, Ha HS, Hickman LD, et al. Frailty in advanced heart failure:a systematic review[J]. Heart Fail Rev, 2015, 20(5):553-560. DOI URL
[37]	Uchmanowicz I, Kusnierz M, Wleklik M, et al. Frailty syndrome and rehospitalizations in elderly heart failure patients[J]. Aging Clin Exp Res, 2018, 30(6):617-623. DOI PMID
[38]	Pandey A, Kitzman D, Whellan DJ, et al. Frailty among older decompensated heart failure patients:prevalence,association with patient-centered outcomes,and efficient detection methods[J]. JACC Heart Fail, 2019, 7(12):1079-1088. DOI URL
[39]	Reeves GR, Whellan DJ, Patel MJ, et al. Comparison of frequency of frailty and severely impaired physical function in patients ≥60 years hospitalized with acute decompensated heart failure versus chronic stable heart failure with reduced and preserved left ventricular ejection fraction[J]. Am J Cardiol, 2016, 117(12):1953-1958. DOI URL
[40]	王红, 程青, 李迎新, 等. 急性心力衰竭代偿期患者早期康复活动方案的构建及应用效果[J]. 中华护理杂志, 2020, 55(4):524-528.
	Wang H, Cheng Q, Li YX, et al. Development and evaluation of four-stage early rehabilitation program for patients with acute heart failure in compensatory period[J]. Chin J Nurs, 2020, 55(4):524-528.
[41]	Scrutinio D, Passantino A, Catanzaro R, et al. Inpatient cardiac rehabilitation soon after hospitalization for acute decompensated heart failure:a propensity score study[J]. J Cardiopulm Rehabil Prev, 2012, 32(2):71-77. DOI URL
[42]	Kitzman DW, Whellan DJ, Duncan P, et al. Physical rehabilitation for older patients hospitalized for heart failure[J]. N Engl J Med, 2021, 385(3):203-216. DOI URL
[43]	谷雨擎, 朱丽丽, 李庆印, 等. 急诊经皮冠状动脉介入治疗患者早期心脏康复护理方案的构建[J]. 中华护理杂志, 2021, 56(4):502-508.
	Gu YQ, Zhu LL, Li QY, et al. Construction of an early cardiac rehabilitation nursing practice program for patients after emergency percutaneous coronary intervention[J]. Chin J Nurs, 2021, 56(4):502-508.