我们应该推荐在Fontan手术之后进行运动吗？
Should We Recommend Exercise after the Fontan Procedure?
作者信息
Sutherland Nigel, Jones Bryn, d'Udekem Yves
机构信息
Cardiac Surgery Department, Royal Children's Hospital, Melbourne, Vic, Australia.
Murdoch Childrens Research Institute, Melbourne, Vic, Australia; Department of Paediatrics, Faculty of Medicine, The University of Melbourne, Melbourne, Vic, Australia; Department of Cardiology, The Royal Children's Hospital, Melbourne, Vic, Australia.
出版信息
Heart Lung Circ. 2015 Aug;24(8):753-68. doi: 10.1016/j.hlc.2015.03.005. Epub 2015 Mar 24.
BACKGROUND
The Fontan procedure, the last of a series of operations performed in patients with congenital heart defects, offers improved exercise capacity compared to baseline function but is still reduced compared to healthy peers. Exercise training may improve exercise tolerance but there is no consensus on the safety of this practice or the optimal training regimen. We performed a systematic literature review on the effects of exercise training in patients with a Fontan circulation.
METHODS
Medline and Embase databases were systematically searched for articles regarding Fontan Procedure and cardiac rehabilitation.
RESULTS
A total of 23 articles met all inclusion criteria; in total, 201 Fontan subjects were included. Characteristics of the exercise training programs varied significantly. There were no adverse effects related to training programs reported in the literature. Most studies reported benefit across various exercise parameters related to exercise tolerance.
CONCLUSIONS
Exercise training is safe and beneficial in patients with a Fontan circulation. Exercise training should become a standard of care within this population. Physiological adaptation following exercise training needs to be investigated more extensively.
背景
Fontan手术是先天性心脏缺陷患者进行的一系列手术中的最后一步，与基线功能相比，其运动能力有所改善，但与健康同龄人相比仍有所降低。运动训练可能会提高运动耐量，但对于这种做法的安全性或最佳训练方案尚无共识。我们对运动训练对Fontan循环患者的影响进行了系统的文献综述。
方法
系统检索Medline和Embase数据库中有关Fontan手术和心脏康复的文章。
结果
共有23篇文章符合所有纳入标准；总共纳入了201名Fontan患者。运动训练计划的特点差异很大。文献中未报告与训练计划相关的不良反应。大多数研究报告了在与运动耐量相关的各种运动参数方面的益处。
结论
运动训练对Fontan循环患者是安全且有益的。运动训练应成为该人群的标准治疗方法。运动训练后的生理适应性需要更广泛地进行研究。
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