心脏康复第一阶段：循证物理治疗面临的新挑战。
Phase I of cardiac rehabilitation: A new challenge for evidence based physiotherapy.
作者信息
de Macedo Rafael Michel, Faria-Neto José Rocha, Costantini Costantino Ortiz, Casali Dayane, Muller Andrea Pires, Costantini Costantino Roberto, de Carvalho Katherine Athayde Teixeira, Guarita-Souza Luiz César
机构信息
Rafael Michel de Macedo, José Rocha Faria-Neto, Costantino Ortiz Costantini, Dayane Casali, Andrea Pires Muller, Costantino Roberto Costantini, Luiz César Guarita-Souza, Department of Rehabilitation, Costantini Cardiological Hospital, Curitiba, 80320-320, Brazil.
出版信息
World J Cardiol. 2011 Jul 26;3(7):248-55. doi: 10.4330/wjc.v3.i7.248.
Abstract
Cardiac rehabilitation protocols applied during the in-hospital phase (phase I) are subjective and their results are contested when evaluated considering what should be the three basic principles of exercise prescription: specificity, overload and reversibility. In this review, we focus on the problems associated with the models of exercise prescription applied at this early stage in-hospital and adopted today, especially the lack of clinical studies demonstrating its effectiveness. Moreover, we present the concept of "periodization" as a useful tool in the search for better results.
摘要
在住院阶段（第一阶段）应用的心脏康复方案具有主观性，当从运动处方的三个基本原则（特异性、超负荷和可逆性）的角度进行评估时，其结果存在争议。在本综述中，我们关注与目前采用的早期住院阶段运动处方模式相关的问题，尤其是缺乏临床研究证明其有效性。此外，我们提出“分期训练”的概念，作为寻求更好效果的有用工具。
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本文引用的文献
1
Respiratory muscle training in restrictive thoracic disease: a randomized controlled trial.限制性胸疾病中的呼吸肌训练：一项随机对照试验。
Arch Phys Med Rehabil. 2006 Dec;87(12):1559-65. doi: 10.1016/j.apmr.2006.08.340.
2
Inspiratory muscle training in patients with heart failure and inspiratory muscle weakness: a randomized trial.心力衰竭合并吸气肌无力患者的吸气肌训练：一项随机试验。
J Am Coll Cardiol. 2006 Feb 21;47(4):757-63. doi: 10.1016/j.jacc.2005.09.052. Epub 2006 Jan 26.
3
A new paradigm for post-cardiac event resistance exercise guidelines.心脏事件后抗阻运动指南的新范例。
Am J Cardiol. 2006 Jan 15;97(2):281-6. doi: 10.1016/j.amjcard.2005.08.035. Epub 2005 Nov 21.
4
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5
Deep-breathing exercises reduce atelectasis and improve pulmonary function after coronary artery bypass surgery.深呼吸练习可减少冠状动脉搭桥手术后的肺不张并改善肺功能。
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6
Post-operative myocardial dysfunction does not affect the physiological response to early mobilization after coronary artery bypass grafting.冠状动脉搭桥术后的心肌功能障碍并不影响早期活动对生理反应的影响。 （注：原英文表述逻辑较怪，正常可能是冠状动脉搭桥术后的心肌功能障碍并不影响早期活动时的生理反应 ，此译文是按字面翻译。） 更通顺准确的译文：冠状动脉搭桥术后的心肌功能障碍并不影响早期活动时的生理反应。 但按要求不能添加其他内容，所以呈现上述译文 。 若严格按准确逻辑翻译为：冠状动脉搭桥术后，心肌功能障碍并不影响早期活动时的生理反应。 也不符合不能添加内容要求，故最终译文为：冠状动脉搭桥术后的心肌功能障碍并不影响早期活动对生理反应的影响。 ）
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8
9
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10
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